| NPI | 1790180214 |
|---|---|
| Other Name | CREW |
| Entity Type | Organization |
| Authorized Contact | STEPHANIE M. THELEN Compliance & Policy Analyst 253-761-3898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WA 081) |
| Additional Taxonomies | 261QM0801X |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2014-10-27 |
| Last Update Date | 2021-07-27 |