| NPI | 1326672692 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOVIE BRITTON Contracting And Credentialing Coord 509-559-3132 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| 323P00000X Psychiatric Residential Treatment Facility | |
| Enumeration Date | 2020-02-26 |
| Last Update Date | 2020-10-27 |