| NPI | 1609365238 |
|---|---|
| Other Name | CHEHALIS DETOX |
| Entity Type | Organization |
| Authorized Contact | TIFFANY DAWN STRETCH CFO 509-232-5766 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2018-05-09 |
| Last Update Date | 2018-05-09 |