| NPI | 1699125435 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE MELANIE BUFORD CEO 206-407-3333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP 60535562) |
| Enumeration Date | 2016-06-13 |
| Last Update Date | 2016-06-13 |