| NPI | 1932399359 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL E HEINISCH Executive Director 253-859-0300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2007-08-01 |
| Last Update Date | 2007-08-01 |