| NPI | 1326486069 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE WILSON Billing Manager 509-209-2777 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251J00000X Nursing Care |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2013-06-04 |
| Last Update Date | 2016-02-25 |