| NPI | 1831579614 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN CYNTHIA MCDONALD Owner 425-212-9877 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: WA 601050462) |
| Enumeration Date | 2015-06-05 |
| Last Update Date | 2015-06-05 |