| NPI | 1306269378 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAELYNN NOLAN Billing Specialist 509-891-5900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH00003406) |
| 101YM0800X Counselor, Mental Health (Licence: WA LH60387411) | |
| 225100000X Physical Therapist (Licence: WA PT00003756) | |
| Enumeration Date | 2014-01-28 |
| Last Update Date | 2024-01-11 |