| NPI | 1710424890 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY S JONES Clinical Psychologist 509-432-9511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IL 071009123) |
| Enumeration Date | 2017-01-26 |
| Last Update Date | 2017-01-26 |