| NPI | 1144451048 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAE SON LEE Executive Director 253-302-3826 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WA 27145700) |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 261QM2800X Clinic/Center Methadone | |
| 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder (Licence: WA 27145700) | |
| Enumeration Date | 2009-07-27 |
| Last Update Date | 2024-12-09 |