| NPI | 1699733642 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AARON WILSON CEO 509-444-8888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) (Licence: WA PA10002517) |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2023-03-15 |