| NPI | 1043374119 |
|---|---|
| Doing Business As | PROVIDENCE ST. PETER CHEMICAL DEPENDENCY CENTER |
| Entity Type | Organization |
| Authorized Contact | DONALD WAYNE ANDERSON Assistant Secreatry For Enrollment 425-358-9786 |
| Organization Subpart ? | No |
| Primary Taxonomy | 276400000X Rehabilitation, Substance Use Disorder Unit |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2025-05-13 |