| NPI | 1124392618 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY BARTLETT Owner 360-338-0600 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2012-02-29 |
| Last Update Date | 2026-01-29 |