| NPI | 1275678088 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON C JONES Administrator 509-758-3344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: WA 601-642-674) |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2014-02-12 |