| NPI | 1861759748 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND MORRIS REGAN Administrator 509-421-0860 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA 603198198) |
| Enumeration Date | 2012-04-18 |
| Last Update Date | 2012-04-18 |