| NPI | 1790707776 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIKA M. GWINN Clinical Director 509-758-3341 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: WA 011) |
| 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder (Licence: WA 600425853) | |
| 251B00000X Case Management (Licence: WA 600425853) | |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2016-04-20 |