| NPI | 1326646654 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELIQUE MELENDEZ-BLANCH Manager/Co Owner 509-851-5084 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2020-10-09 |
| Last Update Date | 2021-01-14 |