| NPI | 1538634530 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATIE FOX Licensed Social Worker 509-528-9593 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2018-10-05 |
| Last Update Date | 2018-11-07 |