| NPI | 1669161410 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNA PORTER Social Worker 509-981-0647 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2023-05-05 |
| Last Update Date | 2023-05-10 |