| NPI | 1649580713 |
|---|---|
| Other Name | THE HEALING LODGE - CEDAR BOYS COD |
| Entity Type | Organization |
| Authorized Contact | JAMES R WALDE Financial Director 509-533-6910 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: WA RTF-1023) |
| Additional Taxonomies | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children |
| Enumeration Date | 2010-10-07 |
| Last Update Date | 2023-10-06 |