| NPI | 1407928013 |
|---|---|
| Doing Business As | PRC |
| Entity Type | Organization |
| Authorized Contact | DARCELL K MYERS Co Owner Of LLC 509-334-0718 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: WA 38075500) |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2020-08-22 |