| NPI | 1457788275 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON MARIE BOWDEN Cred Manager 509-570-9302 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 2083A0300X Preventive Medicine, Addiction Medicine |
| 251S00000X | |
| 261Q00000X Clinic/Center (Licence: WA MD00046152) | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2013-10-11 |
| Last Update Date | 2025-04-15 |