| NPI | 1740328145 |
|---|---|
| Other Name | RONALD J. PHELPS, B.A., CDP |
| Entity Type | Organization |
| Authorized Contact | RONALD J PHELPS Executive Director Abstemious Outpa 509-927-7814 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: WA CP0001358) |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: WA 32051201) |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2012-10-23 |