| NPI | 1841957990 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BLAKE DONALD REDDING Administrator 509-570-7240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health |
| Additional Taxonomies | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| 261QR0401X Clinic/Center Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) | |
| 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2021-11-23 |
| Last Update Date | 2021-11-23 |