| NPI | 1053328187 |
|---|---|
| Doing Business As | LYNNWOOD COMPREHENSIVE TREATMENT CENTER |
| Entity Type | Organization |
| Authorized Contact | BRIAN PHILLIP FARLEY VP & Secretary 615-861-6000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic (Licence: WA 31112100) |
| Additional Taxonomies | 261QM0801X |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2023-08-10 |