| NPI | 1811954373 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULA MAXWELL Program Manager 509-324-1660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| 261QM2800X Clinic/Center, Methadone Clinic | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| 291U00000X Clinical Medical Laboratory (Licence: WA 50D0672084) | |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2023-12-19 |