| NPI | 1750125233 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA MAKOVSKY Owner 509-593-8777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-06-20 |
| Last Update Date | 2024-07-17 |