| NPI | 1144312877 |
|---|---|
| Doing Business As | SHORELINE BRANCH |
| Entity Type | Organization |
| Authorized Contact | SEAN POTTER Billing Manager 206-323-0930 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center Methadone |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2023-10-04 |