| NPI | 1518157825 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH ROUGHTON Director 509-382-1164 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: WA 07 0014 00) |
| Enumeration Date | 2007-08-01 |
| Last Update Date | 2007-08-01 |