| NPI | 1215707518 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOLLY O PHILLIPS Owner 509-671-0226 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 261QM0850X Clinic/Center Adult Mental Health |
| 261QM0855X Clinic/Center Adolescent and Children Mental Health | |
| Enumeration Date | 2024-01-08 |
| Last Update Date | 2024-01-08 |