| NPI | 1922356906 |
|---|---|
| Other Name | ROBERT LACK AND ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | ROBERT G LACK Administrator 509-735-7410 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA 03060500) |
| Enumeration Date | 2012-08-21 |
| Last Update Date | 2012-08-21 |