| NPI | 1043468358 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSALIE SCOTT Director 360-384-2330 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: WA RC00011850) |
| Enumeration Date | 2008-08-29 |
| Last Update Date | 2008-08-29 |