| NPI | 1124329669 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY FROST President 360-676-4485 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA 37038600) |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2010-11-16 |
| Last Update Date | 2022-11-21 |