NPI | 1801679907 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHNERIC PENNEY Founder 509-460-2606 |
Organization Subpart ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist |
171M00000X Case Manager/Care Coordinator | |
175T00000X Peer Specialist | |
207RA0401X Internal Medicine, Addiction Medicine | |
Enumeration Date | 2023-08-14 |
Last Update Date | 2024-03-25 |