| NPI | 1891525671 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE WILLIAMS Healthcare Business Office Director 360-312-2285 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2024-08-06 |
| Last Update Date | 2024-08-06 |