| NPI | 1730305319 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAEREN P FOUTS Co Owner Administrative Assistant 425-481-2112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: WA 600522884) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2008-09-09 |