| NPI | 1770607723 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GILL MARTIN ORR Director 360-452-2443 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA 05050500) |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2020-08-22 |