| NPI | 1689726499 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YVONNE L HEIM Owner, Administrator, Provider 360-748-7268 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA 21054900) |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2020-08-22 |