| NPI | 1689892473 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KINH REYNOLDS CFO 360-397-8246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: WA RTF - 1075) |
| Additional Taxonomies | 251S00000X |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| 207Q00000X Family Medicine | |
| 251B00000X Case Management | |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2023-03-01 |