| NPI | 1518159367 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL B TRIBBLE President Director 206-323-4750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: WA 17019800) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA 17019800) |
| Enumeration Date | 2007-08-15 |
| Last Update Date | 2007-08-15 |