| NPI | 1770647778 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS R NEAL Clinical Director 360-943-8810 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| 251S00000X Community/Behavioral Health | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| 363LF0000X Nurse Practitioner Family | |
| 101Y00000X Counselor | |
| 101YM0800X Counselor Mental Health | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
| 363LP2300X Nurse Practitioner Primary Care | |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2021-03-03 |