| NPI | 1417357914 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTYLYNNE GOVEIA Therapist 509-575-4084 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WA 6060795) |
| Enumeration Date | 2014-09-03 |
| Last Update Date | 2014-09-03 |