| NPI | 1760946032 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY MARIE DIAMOND Clinical Psychologist 509-707-3061 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2019-01-30 |
| Last Update Date | 2019-01-30 |