| NPI | 1356831911 |
|---|---|
| Other Name | COZZA WITHDRAWAL MANAGEMENT |
| Entity Type | Organization |
| Authorized Contact | TIFFANY DAWN STRETCH CFO 509-232-5766 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2018-05-18 |
| Last Update Date | 2018-05-18 |