| NPI | 1417823824 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER FORDMEIR Owner/Clinician 509-401-8384 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-10-13 |
| Last Update Date | 2025-10-13 |