| NPI | 1245935576 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARL ALBERT ROBINSON Director 360-729-7037 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2023-04-04 |
| Last Update Date | 2023-12-01 |