NPI | 1780212738 |
---|---|
Entity Type | Organization |
Authorized Contact | VIKTORIYA R BROYAN Special Projects Manager 509-570-9322 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Additional Taxonomies | 261Q00000X Clinic/Center |
Enumeration Date | 2020-03-27 |
Last Update Date | 2023-03-01 |