| NPI | 1477087716 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERRI HANSON Clinical Social Worker 509-263-2341 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WA LW60103013) |
| Enumeration Date | 2017-04-13 |
| Last Update Date | 2017-04-13 |