| NPI | 1043435563 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERSTIN MARGARETA POWELL Health Center Business Office Manag 360-297-9601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2020-08-22 |