| NPI | 1295288819 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE A. MNEDEZ Residential Services Case Manager 509-303-8422 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: WA 602-813-810) |
| Enumeration Date | 2016-08-01 |
| Last Update Date | 2016-08-01 |