| NPI | 1326139528 |
|---|---|
| Other Name | TRUE STAR RECOVERY PROGRAM |
| Entity Type | Organization |
| Authorized Contact | PETE PETERSON Administrator 360-565-2628 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2020-08-22 |