| NPI | 1366837650 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBIN B O'GRADY Executive Director 360-876-9430 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: WA 600554448) |
| Enumeration Date | 2015-04-02 |
| Last Update Date | 2015-04-02 |