| NPI | 1750634275 |
|---|---|
| Doing Business As | MATT TALBOT CENTER |
| Entity Type | Organization |
| Authorized Contact | STEPHANIE M. THELEN Compliance & Policy Analyst 253-761-3898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: WA 17138600) |
| Enumeration Date | 2012-10-22 |
| Last Update Date | 2018-10-15 |