| NPI | 1275083966 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVE WILSON Excutive Director 509-469-9366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA 60081458) |
| Enumeration Date | 2016-10-06 |
| Last Update Date | 2016-10-06 |