| NPI | 1548491970 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA CLARK Program Director 509-735-6900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2009-08-03 |
| Last Update Date | 2019-01-31 |