| NPI | 1598907651 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DWAYNE CLARK BROWN President 425-251-1933 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 251S00000X (Licence: WA 17 1225 00) | |
| Enumeration Date | 2009-04-03 |
| Last Update Date | 2015-01-16 |