| NPI | 1497080931 |
|---|---|
| Doing Business As | STOP SHELTON |
| Entity Type | Organization |
| Authorized Contact | ANDREW L TATUM Administrator 253-471-0890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2009-10-15 |
| Last Update Date | 2020-01-09 |