| NPI | 1497493167 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD STEWART Manager 253-241-4992 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital |
| Additional Taxonomies | 276400000X Rehabilitation, Substance Use Disorder Unit |
| Enumeration Date | 2022-05-23 |
| Last Update Date | 2022-05-23 |