| NPI | 1891292900 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTA GILBERT CEO 208-810-2704 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: WA 604-053-896) |
| Enumeration Date | 2018-04-06 |
| Last Update Date | 2024-06-25 |