| NPI | 1801205380 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANIS LUVAAS Senior Program Director 509-865-6175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WA 60480412) |
| Enumeration Date | 2014-08-08 |
| Last Update Date | 2014-08-08 |