| NPI | 1679167944 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRICIA L HUGHES Clinical Director 509-315-5146 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children |
| Additional Taxonomies | 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric |
| Enumeration Date | 2021-02-26 |
| Last Update Date | 2022-04-25 |