| NPI | 1255500203 |
|---|---|
| Former Legal Business Name | EVANS & SULLIVAN |
| Entity Type | Organization |
| Authorized Contact | KATIE EVANS KELLEY Treatment Director CEO 503-756-6117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WA CP00004591) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 860106) |
| Enumeration Date | 2008-02-25 |
| Last Update Date | 2011-10-07 |