| NPI | 1528450152 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICKEY L JONES Owner 509-362-4439 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WA 32166500) |
| Enumeration Date | 2015-02-18 |
| Last Update Date | 2015-02-18 |