| NPI | 1285170290 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YVONNE R REIGSTAD Administrator/Executive Director 509-764-6644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: WA 604002137) |
| Enumeration Date | 2017-01-13 |
| Last Update Date | 2017-01-13 |