| NPI | 1790008928 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAVIN HOTTMAN Budget Analyst 360-750-7500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 251300000X Local Education Agency (LEA) |
| 251B00000X Case Management | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2010-03-02 |
| Last Update Date | 2020-11-24 |