| NPI | 1932258225 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY L STARK Executive Director 253-941-7555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder (Licence: WA 17004300) |
| Additional Taxonomies | 251B00000X Case Management (Licence: WA 17004300) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2008-06-23 |