| NPI | 1780771238 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANICE K SANFORD Accounts Receivable 509-662-9673 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: WA RTF1005) |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2014-10-20 |