| NPI | 1841506706 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATTY KAY FRAY Psychiatric Nurse Practitioner 509-993-2021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances (Licence: WA AP 60071357) |
| Additional Taxonomies | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: WA AP60071357) |
| 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: WA AP 60071357) | |
| 314000000X Skilled Nursing Facility (Licence: WA AP 60071357) | |
| Enumeration Date | 2010-08-28 |
| Last Update Date | 2010-08-28 |