| NPI | 1740057264 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA MARTIN-DAVIS President 253-951-7371 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2023-12-05 |
| Last Update Date | 2023-12-05 |