| NPI | 1760732002 |
|---|---|
| Other Name | OLYMPIA HOUSE |
| Entity Type | Organization |
| Authorized Contact | WAYNE C THURSTON Managing Member/Executive Director 707-795-7609 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2012-09-13 |
| Last Update Date | 2012-09-13 |