| NPI | 1386824894 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES A ROUBOS Clinical Psychologist 509-624-2621 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: WA PY00001015) |
| Enumeration Date | 2007-11-13 |
| Last Update Date | 2008-02-14 |