| NPI | 1821715137 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFF MCCLURE Owner 509-380-4603 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 101YM0800X Counselor Mental Health | |
| 103TA0400X Psychologist Addiction (Substance Use Disorder) | |
| 103TC0700X Psychologist Clinical | |
| 1041C0700X Social Worker Clinical | |
| 171W00000X Contractor | |
| 175T00000X Peer Specialist | |
| 2084A0401X Psychiatry & Neurology Addiction Medicine | |
| 2084N0400X Psychiatry & Neurology Neurology | |
| 2084N0402X Psychiatry & Neurology Neurology with Special Qualifications in Child Neurology | |
| 208D00000X General Practice | |
| 405300000X Prevention Professional | |
| Enumeration Date | 2022-10-26 |
| Last Update Date | 2023-07-31 |