| NPI | 1720127095 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAM STONEBURG Program Administrator 509-933-3838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA 602292) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2020-08-22 |