| 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) |
| 261QR0400X Clinic/Center Rehabilitation (Licence: WA MD000014180) | |
| 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder (Licence: WA MD000014180) | |
| Enumeration Date | 2014-12-07 |
| Last Update Date | 2015-06-18 |