| NPI | 1699975466 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM W. WOOLSEY Treatment Director 360-966-7704 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA 020300) |
| Enumeration Date | 2007-07-20 |
| Last Update Date | 2007-07-20 |