Organization
COLUMBIA BASIN FAMILY THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA INFANTE-CASTRO MA (OWNER/CLINICAL SUPERVISOR)
(509) 845-6270
Entity
Organization
Contact information
Practice address
1619 W OCTAVE ST, PASCO, WA 99301-4045
(509) 845-6270
Mailing address
100 WALLA WALLA AVE, ELTOPIA, WA 99330-9611
(509) 845-6270
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
12/27/2023
Last updated
12/27/2023
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