| NPI | 1659562221 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPHINE KAIL-LEIBL Secretary Board Of Directors 360-923-9585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: WA 34051400) |
| Enumeration Date | 2007-08-07 |
| Last Update Date | 2007-10-15 |