| NPI | 1437909975 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | APRIL DAWN BERGERON Owner 253-392-5534 |
| Organization Subpart ? | No |
| Primary Taxonomy | 276400000X Rehabilitation, Substance Use Disorder Unit |
| Enumeration Date | 2024-03-26 |
| Last Update Date | 2024-03-26 |