NPI | 1104162403 |
---|---|
Doing Business As | CRC HEALTH |
Entity Type | Organization |
Authorized Contact | PHILLIP C. WILFORD Counselor 206-227-0959 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
Enumeration Date | 2012-12-14 |
Last Update Date | 2012-12-14 |