| NPI | 1558424499 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK E. BOARDMAN Agency Executive Director 253-815-0137 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: WA 17099900) |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2020-08-22 |