| NPI | 1235374737 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA LOUISE LINCOLN Director 253-273-8598 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: WA 602883324) |
| Enumeration Date | 2008-12-11 |
| Last Update Date | 2009-07-22 |