| NPI | 1467612424 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNDA J. WHITCOMB Executive Director 206-545-0597 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: WA 17046100) |
| Enumeration Date | 2008-06-12 |
| Last Update Date | 2008-06-12 |