| NPI | 1982240875 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOREN RAYMOND CAUDLE Director 509-780-3081 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2019-11-26 |
| Last Update Date | 2019-11-26 |