| NPI | 1891453957 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON EDWARD MCALLISTER CEO/Owner 509-844-5947 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2021-12-06 |
| Last Update Date | 2021-12-06 |