NPI | 1437607553 |
---|---|
Entity Type | Organization |
Authorized Contact | HOLLY L P CANNARD Owner 970-209-5371 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WA LH60647512) |
Enumeration Date | 2016-09-18 |
Last Update Date | 2016-09-18 |