| NPI | 1174643183 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JO ANN CRISTAL Administrator 253-922-0229 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2007-03-31 |
| Last Update Date | 2008-07-14 |