| NPI | 1083966238 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALFREDA HAINES CEO/Clinical Director 253-777-4772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WA NCC 259424) |
| Additional Taxonomies | 175T00000X Peer Specialist |
| 101Y00000X Counselor | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 251S00000X (Licence: WA 162100) | |
| 291U00000X Clinical Medical Laboratory | |
| Enumeration Date | 2012-10-12 |
| Last Update Date | 2022-03-23 |