| NPI | 1972735157 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASIF RASHID KHAN Medical Director 253-304-7753 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 261QM0801X |
| 261QM2800X Clinic/Center, Methadone Clinic | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2009-08-20 |
| Last Update Date | 2022-04-26 |