| NPI | 1962751503 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA ROBERTSON Finance Manager 509-232-5766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: WA 603230607) |
| Enumeration Date | 2012-08-29 |
| Last Update Date | 2012-08-29 |