| NPI | 1386976280 |
|---|---|
| Other Name | FAMILT SUPPORT AGENCY |
| Entity Type | Organization |
| Authorized Contact | RYAN LEE LAVINE Chief Executive Officer 509-443-4680 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2010-02-03 |
| Last Update Date | 2010-02-03 |