| NPI | 1982298907 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANNER JORDAN MONSTAD Owner/CEO 253-670-5993 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-02-22 |
| Last Update Date | 2021-02-22 |