| NPI | 1720556988 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY JUNE HOFEDITZ Administrator 206-547-2171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2018-11-06 |
| Last Update Date | 2018-11-06 |