NPI | 1396143319 |
---|---|
Entity Type | Organization |
Authorized Contact | RANDALL RIGGS CEO, Director 509-534-5000 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: WA MD000014180) |
Additional Taxonomies | 261Q00000X Clinic/Center (Licence: WA MD00014180) |
261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: WA MD000014180) | |
261QR0400X Clinic/Center, Rehabilitation (Licence: WA MD000014180) | |
Enumeration Date | 2014-12-07 |
Last Update Date | 2015-06-18 |