| NPI | 1376644146 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZANNE EVICH-GIBSON Exective Director 360-417-5356 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2020-08-22 |