| NPI | 1922748151 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATESHA WOOD Director 509-842-6958 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2022-03-29 |
| Last Update Date | 2022-04-12 |