| NPI | 1396247003 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DYLAN WALKER COO 253-653-2243 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 300384BP) |
| Enumeration Date | 2018-03-08 |
| Last Update Date | 2026-03-10 |