NPI | 1841684230 |
---|---|
Doing Business As | CLARVIDA |
Entity Type | Organization |
Authorized Contact | AMIKA TANIGUCHI State Director 509-209-8993 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 251S00000X (Licence: WA 5299) |
Enumeration Date | 2015-03-24 |
Last Update Date | 2024-07-25 |