| NPI | 1992129902 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY KAY HALL Msw, LLC 509-343-3321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health (Licence: WA 00008827) |
| Enumeration Date | 2014-02-11 |
| Last Update Date | 2022-02-21 |