| NPI | 1528264561 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MALYNN FOSTER Office Manager 360-426-7788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: WA CP00002317) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: WA CP00000655) |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2020-08-22 |