| NPI | 1972103026 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM VOSS Owner 509-270-1838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health |
| Additional Taxonomies | 103TC0700X Psychologist Clinical |
| 363A00000X Physician Assistant | |
| 163W00000X Registered Nurse | |
| Enumeration Date | 2020-10-28 |
| Last Update Date | 2021-01-07 |