| NPI | 1083704514 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY W HAMMOND President 360-357-7986 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA 34089200) |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2020-08-22 |