| NPI | 1962942748 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY GEORGE HEDGE Owner 509-458-5889 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WA OP00001320) |
| Enumeration Date | 2017-02-28 |
| Last Update Date | 2017-02-28 |