| NPI | 1043597313 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTHA MUNROE LAYZER Administrative Director 206-535-8860 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA 17044000) |
| 251S00000X (Licence: WA 17044000) | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2011-11-14 |
| Last Update Date | 2023-06-06 |