| NPI | 1922153055 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARET CARNEY Executive Director 206-223-3644 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic (Licence: WA 17 0163 01) |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2017-04-11 |