| NPI | 1275990764 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA ROSE HURT-MORAN Eastern Washington Regional Directo 509-863-4233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2016-01-28 |
| Last Update Date | 2016-01-28 |