| NPI | 1780387415 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE LORRAINE HANKS Fnp C Fpmhnp Bc 509-410-5130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2023-03-22 |
| Last Update Date | 2023-03-22 |