| NPI | 1386278372 |
|---|---|
| Other Name | STOP - OTHELLO |
| Entity Type | Organization |
| Authorized Contact | ANDREW TATUM COO/CFO 253-471-0890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2020-02-27 |
| Last Update Date | 2020-02-27 |