NPI | 1275338337 |
---|---|
Entity Type | Organization |
Authorized Contact | THOMAS HUTCH Medical Director 253-999-5722 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2025-02-13 |
Last Update Date | 2025-09-05 |