| NPI | 1053498220 |
|---|---|
| Other Name | CHS SHORELINE 170TH |
| Entity Type | Organization |
| Authorized Contact | BERATTA GOMILLION Executive Director 206-362-7282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: WA 17015900) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 251B00000X Case Management (Licence: WA 17015900) | |
| 251S00000X Community/Behavioral Health (Licence: WA 17015900) | |
| 261QM0801X (Licence: WA 154) | |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2016-09-17 |