| NPI | 1346238482 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN MAY Billing Manager 360-604-0068 |
| Organization Subpart ? | No |
| Primary Taxonomy | 276400000X Rehabilitation, Substance Use Disorder Unit |
| Enumeration Date | 2005-10-12 |
| Last Update Date | 2014-04-16 |