| NPI | 1568517563 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY R SUTTON President 360-457-9200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2020-08-22 |