| NPI | 1548483738 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARILYN T HILLYER Billing Manager 253-503-6703 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: WA 602566588) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2020-08-22 |