| NPI | 1659599611 |
|---|---|
| Former Legal Business Name | SOUTHWEST WASHINGTON SAFEHAVEN |
| Entity Type | Organization |
| Authorized Contact | DEBRA CASSERD-JOHNSON Aministrator 360-577-4340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2022-07-21 |