| NPI | 1225373350 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LASHAWNE ROJAS Manager 509-424-7727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: WA 5465498) |
| Enumeration Date | 2012-11-29 |
| Last Update Date | 2012-11-29 |