| NPI | 1558574202 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GUSTAVUS L LAWLAR Executive Director 253-627-1226 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: WA 27042000) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2010-11-11 |