| NPI | 1326254954 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANNER RAPP Owner 509-961-6336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 363LF0000X Nurse Practitioner Family | |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2023-11-29 |