| NPI | 1922439470 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIEGLINDE GLORIA PARKER Counselor 253-333-3605 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: WA CP60010863) |
| Enumeration Date | 2013-12-10 |
| Last Update Date | 2013-12-10 |