| NPI | 1225469927 |
|---|---|
| Former Legal Business Name | YAKIMA VALLEY ALCOHOL COUNSEL |
| Entity Type | Organization |
| Authorized Contact | DAVID WILSON Executive Director 509-837-7700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: WA CP60344336) |
| Enumeration Date | 2013-12-05 |
| Last Update Date | 2013-12-05 |