| NPI | 1134331077 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFF BOTT Executive Director 206-860-2621 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2020-08-22 |