| NPI | 1942518865 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA A HAMMILL Executive Director 509-998-5692 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WA 235) |
| Additional Taxonomies | 261QM0801X |
| Enumeration Date | 2010-09-14 |
| Last Update Date | 2020-01-23 |