| NPI | 1942927710 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY CAROLINE CUMMINGS Owner/Operator 509-630-7182 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 261QM0801X |
| Enumeration Date | 2022-10-24 |
| Last Update Date | 2022-10-24 |