| NPI | 1619020302 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARILYN RUSNESS A/P Billing Specialist 206-568-8226 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2011-04-26 |