| NPI | 1073984480 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVE HARRIS Administrator 253-841-8465 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2015-10-12 |
| Last Update Date | 2015-10-12 |