| NPI | 1730054966 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMELIA JENSEN Owner/Provider 509-964-4265 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-10-07 |
| Last Update Date | 2025-10-07 |