| NPI | 1134373574 |
|---|---|
| Doing Business As | A FIRST PLACE |
| Entity Type | Organization |
| Authorized Contact | CATHY KAY LUDAHL Clinical Director 360-577-7442 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: WA 08 053500) |
| Additional Taxonomies | 251B00000X Case Management (Licence: WA 325/08 0535 00) |
| 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder (Licence: WA 325/08 0535 00) | |
| Enumeration Date | 2008-11-12 |
| Last Update Date | 2015-05-21 |