| NPI | 1396223640 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | GREGORY REHMANN Medical Director 253-200-0505  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | 
| Enumeration Date | 2018-07-30 | 
| Last Update Date | 2018-08-07 |