| NPI | 1104334150 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT JEFFREY ALPERT Clinical D Irector 425-588-8438 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X (Licence: WA 1225173453) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA 1225173453) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA 1225173453) | |
| 261QM0850X Clinic/Center, Adult Mental Health (Licence: WA 1225173453) | |
| 324500000X Substance Abuse Rehabilitation Facility (Licence: WA 1225173453) | |
| Enumeration Date | 2018-01-11 |
| Last Update Date | 2018-01-11 |