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 |