| NPI | 1275099921 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYDER THYME GERTRUDE DEFRANCO Owner Provider 509-859-6820 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2019-02-19 |
| Last Update Date | 2025-11-12 |