| NPI | 1386195279 |
|---|---|
| Doing Business As | LILAC CITY BEHAVIORAL |
| Entity Type | Organization |
| Authorized Contact | JEFFREY STAN KALLES CEO/Member 509-844-4966 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2016-10-17 |
| Last Update Date | 2020-07-21 |