| NPI | 1881735926 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICE BISHOP Director 253-661-9761 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: WA CP00003600) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: WA LH00008156) |
| Enumeration Date | 2007-02-10 |
| Last Update Date | 2020-08-22 |