| NPI | 1518183763 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERIE E. DURHAM Executive Assistant 360-876-9430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA 600554448) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2020-08-22 |