NPI | 1669001582 |
---|---|
Entity Type | Organization |
Authorized Contact | DONALD WAYNE ANDERSON Asst Secretary For Enrollment 425-525-5392 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
Enumeration Date | 2020-04-02 |
Last Update Date | 2020-04-02 |