| NPI | 1780779322 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY D RIDER Owner 509-242-2200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: WA RN00100823) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2020-08-22 |