| NPI | 1285757450 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY ELIZABETH DEGRUY Program Director 253-284-7821 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: WA RTF1067) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2020-08-22 |