| NPI | 1306183686 |
|---|---|
| Doing Business As | JOHN R. CHAMBERS |
| Entity Type | Organization |
| Authorized Contact | JOHN ROBERT CHAMBERS Clinical Director/Administrator 360-671-3277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: WA 37013400) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP 00003660) |
| Enumeration Date | 2013-01-07 |
| Last Update Date | 2013-01-07 |