| NPI | 1801075296 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA M DELOZIER Administrator 509-469-5515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: WA 39119700) |
| Enumeration Date | 2007-11-01 |
| Last Update Date | 2008-06-13 |