| NPI | 1336565571 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | MICHAEL JUDE LYNCH Pyschiatric Nurse Pracititioner 509-263-5690 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP60445519) | 
| Enumeration Date | 2014-03-12 | 
| Last Update Date | 2014-03-12 |