| NPI | 1366103988 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIKTORIYA R BROYAN Special Projects Manager 509-570-9322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2022-01-05 |
| Last Update Date | 2022-01-05 |