| NPI | 1497809958 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD D COX President Clinical Director 425-771-1194 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: WA 31011000) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2020-08-22 |