| NPI | 1932891025 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER JASON PORTER Counselor 509-795-0518 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2023-05-25 |
| Last Update Date | 2023-11-07 |