| NPI | 1922331651 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID R CRUMP Director 509-354-7946 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WA 216) |
| Enumeration Date | 2009-09-14 |
| Last Update Date | 2009-09-14 |