| NPI | 1932252624 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARILYN RUSNESS A/P Billing Specialist 206-568-8226 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2007-10-08 |