| NPI | 1396399325 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANALEE WAGNER Clinical Social Worker 509-240-9546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2019-07-29 |
| Last Update Date | 2020-01-16 |