| NPI | 1629418629 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE WILSON Billing Manager 509-209-2777 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| 385H00000X Respite Care (Licence: NV NV20081362263) | |
| Enumeration Date | 2013-07-05 |
| Last Update Date | 2016-02-24 |