| NPI | 1760166029 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA C. LESTER Owner 509-919-8370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-06-14 |
| Last Update Date | 2023-06-14 |