| NPI | 1255568911 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GORDON CABLE Clincial Supervisor, D.M.H.P. 509-783-0500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: WA LH00005017) |
| Enumeration Date | 2009-06-19 |
| Last Update Date | 2009-06-19 |