| NPI | 1619180809 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEREMIAH THUNDERWALKER SAUCIER, SUDP Owner /Director 253-473-7474 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: WA 27099800) |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2022-03-21 |