| NPI | 1609241934 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHRYN P. RATHVON Director 206-473-9768 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 300340AN) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health (Licence: CA 300340AN) |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: CA 300340AN) | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: CA 300340AN) | |
| Enumeration Date | 2015-12-11 |
| Last Update Date | 2015-12-11 |