| NPI | 1780069583 |
|---|---|
| Doing Business As | STOP-MOSES LAKE |
| Entity Type | Organization |
| Authorized Contact | ANDREW TATUM COO/CFO 253-471-0890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2015-07-22 |
| Last Update Date | 2020-01-09 |