| NPI | 1942840160 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARC EDMUND BOLLINGER Executive Director 360-795-5955 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 104100000X Social Worker | |
| 163W00000X Registered Nurse | |
| 175T00000X Peer Specialist | |
| Enumeration Date | 2020-01-15 |
| Last Update Date | 2022-09-27 |