| NPI | 1811639594 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLIVER A. T. BIRCHWOOD-GLOVER Program Director 509-876-4525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2022-04-12 |
| Last Update Date | 2022-04-12 |