| NPI | 1124159157 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA K GRANT Executive Director 425-258-2407 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: WA 31 1095 00) |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2007-10-30 |