| NPI | 1669700662 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROLANDO RODRIGUEZ Manager 509-542-8890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WA PY00003590) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: WA PY00003590) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2009-12-02 |
| Last Update Date | 2009-12-02 |