| NPI | 1467588582 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY L. SOMDAHL Executive Director 509-942-1624 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP00001001) |
| Enumeration Date | 2007-02-25 |
| Last Update Date | 2008-06-16 |