| NPI | 1356863591 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMI HALEY Clinical Social Worker 509-710-6292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: WA LW60116916) |
| Enumeration Date | 2017-07-10 |
| Last Update Date | 2017-07-10 |