| NPI | 1790313740 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY TODD ALLGAIER President 509-222-1275 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2020-03-27 |
| Last Update Date | 2021-08-25 |