| NPI | 1306079959 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTINA RAY Mental Health Professional 509-477-6674 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2400X Clinic/Center, Prison Health |
| Enumeration Date | 2009-08-31 |
| Last Update Date | 2026-05-12 |