| NPI | 1215002365 |
|---|---|
| Other Name | THUNDERBIRD TREATMENT CENTER |
| Entity Type | Organization |
| Authorized Contact | RALPH FORQUERA Executive Director 206-324-9360 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: WA 0024817002 BLSEATTLE) |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2020-08-22 |