NPI | 1578224192 |
---|---|
Entity Type | Organization |
Authorized Contact | VIKTORIYA R BROYAN Special Projects Manager 509-570-9322 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2022-01-05 |
Last Update Date | 2022-01-05 |