| 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 | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 175T00000X Peer Specialist | |
| 251S00000X Community/Behavioral Health (Licence: WA 162100) | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 291U00000X Clinical Medical Laboratory | |
| Enumeration Date | 2012-10-12 |
| Last Update Date | 2025-07-15 |