| NPI | 1538282272 |
|---|---|
| Other Name | KOINONIA INN |
| Entity Type | Organization |
| Authorized Contact | ONDREA MCCOURRY Executive Assistant 360-373-1529 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA 18027300) |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2020-06-25 |