| NPI | 1437750817 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAISE MARIE HOHENSTREET GIES Clinical Director 509-340-9922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| Enumeration Date | 2020-11-03 |
| Last Update Date | 2020-11-03 |