| NPI | 1548798879 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN JEFFERSON DAWSON Cmo 509-222-1275 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| 207RA0401X Internal Medicine Addiction Medicine | |
| Enumeration Date | 2017-05-31 |
| Last Update Date | 2023-08-30 |