| NPI | 1639587306 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDMOND D HEANEY Licensed Massage Therapist 509-671-0419 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: WA MA00013596) |
| Enumeration Date | 2014-07-25 |
| Last Update Date | 2014-07-25 |