| NPI | 1992295174 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERA BELL Owner 509-308-1756 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WA LW60698194) |
| Enumeration Date | 2018-05-14 |
| Last Update Date | 2021-02-24 |