| NPI | 1205965159 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA K GRANT Executive Director 425-258-2407 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: WA 31089100) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2007-10-30 |