| NPI | 1972156297 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY GRAHAM Office Manager 509-957-2130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2019-07-17 |
| Last Update Date | 2022-01-12 |