| NPI | 1134632599 |
|---|---|
| Doing Business As | DIDGWALIC WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | BEVERLY KEYES Chief Executive Officer Interim 360-588-2800 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 122300000X Dentist |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine | |
| 261QM2800X Clinic/Center, Methadone Clinic | |
| 208D00000X General Practice | |
| 261QM0801X | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| Enumeration Date | 2017-11-08 |
| Last Update Date | 2022-06-17 |