| NPI | 1538388665 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FARIBA NIKDEL CEO 509-624-1244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2024-10-08 |