| NPI | 1699948570 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA L PETERSON Business Manager 425-802-2861 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2008-04-10 |
| Last Update Date | 2008-04-10 |