NPI | 1023506714 |
---|---|
Entity Type | Organization |
Authorized Contact | BRYAN BIXLER Chief Program Officer 844-766-8717 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: WA BHA.FS.60874242) |
Additional Taxonomies | 261Q00000X Clinic/Center (Licence: WA BHA.FS.60874242) |
261QM0850X Clinic/Center, Adult Mental Health (Licence: WA BHA.FS.60874242) | |
Enumeration Date | 2018-04-27 |
Last Update Date | 2024-01-11 |