| NPI | 1639470073 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARRYL SCOTT Program Manager 509-865-5121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: WA CO 60181087) |
| Enumeration Date | 2010-11-16 |
| Last Update Date | 2010-11-16 |