| NPI | 1912527128 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE MICHELLE MCINELLY Owner 509-724-0920 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-04-17 |
| Last Update Date | 2020-04-17 |