| NPI | 1053519611 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMARA LANAE GRIFFIN Executive Director 206-784-4646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA 17082100) |
| Enumeration Date | 2007-07-05 |
| Last Update Date | 2020-08-22 |