| NPI | 1386333250 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBEKKAH ANNE KELLEY Owner/Provider 509-581-9959 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2023-05-04 |
| Last Update Date | 2023-05-04 |