| NPI | 1306538509 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACEY C MOSTEK-GARLAND Provider/Owner 509-842-6093 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2023-05-24 |
| Last Update Date | 2025-04-14 |