| NPI | 1972967479 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA GRANT Director 425-493-5310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: WA CO6035443) |
| Enumeration Date | 2016-04-11 |
| Last Update Date | 2016-04-11 |