| NPI | 1568863470 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JO NELL R AMBURGEY Mental Health Counselor 509-675-0642 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WA LW00007912) |
| Enumeration Date | 2014-09-10 |
| Last Update Date | 2014-09-10 |