| NPI | 1932953650 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MERRILLINA L MOSBY Owner 509-951-7769 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2024-04-17 |
| Last Update Date | 2024-04-24 |