| NPI | 1689705022 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA K GRANT Executive Director 425-258-2407 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: WA 31-1336-00) |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2007-10-30 |