| NPI | 1952959819 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH JUDD Owner/CEO 509-245-2800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2019-09-03 |
| Last Update Date | 2019-09-03 |