| NPI | 1861020828 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY TODD ALLGAIER President 509-222-1275 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2020-03-27 |
| Last Update Date | 2023-03-01 |