| NPI | 1477010809 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKI RUSH Contracts Administrator 206-766-7006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2019-02-21 |
| Last Update Date | 2019-02-21 |