| NPI | 1457410961 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FREDERICK A MONTGOMERY President 509-248-6192 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: WA MD00009512) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WA MD00009512) |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: WA MD00009512) | |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2020-08-22 |