| NPI | 1679794044 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDI KAY O'BRIEN Manager 509-455-5546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: WA ap300004456) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2008-01-16 |