| NPI | 1578008462 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA LYNN PEARSON Chemical Dependency Professional 425-322-0821 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children (Licence: WA CP60344301) |
| Enumeration Date | 2016-12-30 |
| Last Update Date | 2016-12-30 |