| NPI | 1225666951 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAUL ALEXANDER PADILLA CEO 509-797-7493 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 2084A0401X Psychiatry & Neurology, Addiction Medicine |
| Enumeration Date | 2020-03-30 |
| Last Update Date | 2024-10-14 |