| NPI | 1043374119 |
|---|---|
| Doing Business As | PROVIDENCE ST. PETER CHEMICAL DEPENDENCY CENTER |
| Entity Type | Organization |
| Authorized Contact | KATHLEEN NURMI Dir Revenue Cycle Mgmt Swsa 360-493-4081 |
| Organization Subpart ? | No |
| Primary Taxonomy | 276400000X Rehabilitation, Substance Use Disorder Unit |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2008-09-21 |