| NPI | 1811255532 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAVIER MANUEL GALINDO Administrator 509-453-1702 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: WA 39149800) |
| Enumeration Date | 2012-05-01 |
| Last Update Date | 2012-05-01 |