| NPI | 1316138720 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELODIE WHITE Administrator 509-689-2525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health (Licence: WA 503894) |
| Enumeration Date | 2007-08-09 |
| Last Update Date | 2013-01-11 |