| NPI | 1225914625 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY SUE VOSS Clinical Supervisor 509-300-7250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2025-08-12 |
| Last Update Date | 2025-08-12 |