NPI | 1689062366 |
---|---|
Entity Type | Organization |
Authorized Contact | THERESA DENISE SHISSLER Owner 509-808-6151 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WA MHC.LH.60362453) |
Enumeration Date | 2015-01-02 |
Last Update Date | 2015-01-02 |