| NPI | 1811123631 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GORDON CABLE Supervisor 509-783-0500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WA 020701RC00033141) |
| Enumeration Date | 2009-06-08 |
| Last Update Date | 2009-06-08 |