NPI | 1003939034 |
---|---|
Other Name | PIONEER COUNSELING TACOMA - FAWCETT CLINIC |
Entity Type | Organization |
Authorized Contact | STEVE WOOLWORTH Vice President, Treatment & Reentry 206-766-7018 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X (Licence: WA 27114000) |
Enumeration Date | 2007-04-06 |
Last Update Date | 2019-01-17 |