| NPI | 1437648136 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY DAWN STRETCH CFO 509-232-5766 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2018-05-08 |
| Last Update Date | 2018-05-08 |