| NPI | 1013469469 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANIS LUVAAS Program Director 509-453-1344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: WA CP60234989) |
| Enumeration Date | 2016-11-02 |
| Last Update Date | 2016-11-02 |