| NPI | 1902772783 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EBONIE MARIE TENNISON Substance Use Disorder Professional 253-954-7848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2025-10-16 |
| Last Update Date | 2025-10-16 |