| NPI | 1497265243 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ESTELA UY CLEMENTE CEO 360-787-2902 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP60494259) |
| 207QA0401X Family Medicine, Addiction Medicine (Licence: WA MD60120618) | |
| 251B00000X Case Management | |
| Enumeration Date | 2017-10-06 |
| Last Update Date | 2018-12-31 |