| NPI | 1669856571 |
|---|---|
| Doing Business As | KLEAN GRESHAM |
| Entity Type | Organization |
| Authorized Contact | ALIXAUNDREA CORRIN POLI Office Manager 360-969-4787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2015-07-10 |
| Last Update Date | 2015-07-10 |