| NPI | 1841418977 |
|---|---|
| Doing Business As | ALCOHOL PROGRAM |
| Entity Type | Organization |
| Authorized Contact | AMY CHURCH Revenue Cycle Manager 509-634-2783 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2021-10-05 |