| NPI | 1669258133 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSETT ROSS Agency Contact Person 253-961-1813 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2023-08-31 |
| Last Update Date | 2023-08-31 |