| NPI | 1982792537 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER LANE Administrator/County Coordinator 509-765-5402 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2020-08-22 |