| NPI | 1598103624 |
|---|---|
| Other Name | CHS NORTHSHORE 103RD |
| Entity Type | Organization |
| Authorized Contact | BERATTA GOMILLION Executive Director 206-362-7282 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: WA 17153800) |
| Additional Taxonomies | 251B00000X Case Management (Licence: WA 17153800) |
| Enumeration Date | 2013-06-11 |
| Last Update Date | 2013-06-14 |