NPI | 1699286724 |
---|---|
Entity Type | Organization |
Authorized Contact | BRIAN JEFFERSON DAWSON Cmo 509-222-1275 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center |
Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine |
Enumeration Date | 2017-10-16 |
Last Update Date | 2023-08-30 |