LAKE ASPEN PROFESSIONAL GROUP PS

NPI # 

Practice Address:

1460 N 16Th Ave , Suite G

Yakima, WA, 98902-7102

Practice Phone:

509-575-7750

Practice Fax:

509-575-7796

License Number:

MD00014780

License State:

WA

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Adult Mental Health

Taxonomy Code:

261QM0850X