| NPI | 1609900307 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID BRUXER Cqi Director 509-747-8224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WA 602 128 998) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2009-06-23 |