| NPI | 1679316897 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROCHELLE SUNDEEN DICONTI Owner 509-903-5622 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2024-06-15 |
| Last Update Date | 2024-06-15 |