| NPI | 1215231386 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARREL R STARTIN Administrator, Clinical Supervisor 509-926-3361 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: WA 32143300) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP 00004556) |
| Enumeration Date | 2011-01-05 |
| Last Update Date | 2012-03-12 |