| NPI | 1518364413 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAOLA MERCEDES SALDANA Case Manager 360-805-3122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CO60521671) |
| Enumeration Date | 2014-11-21 |
| Last Update Date | 2015-01-06 |