| NPI | 1396868493 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID A HARRIS Owner Administrator 253-841-8165 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: WA 27115500) |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2020-08-22 |