| NPI | 1992084982 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER BRADFORD Chemical Dependency Counselor 509-888-4404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WA CO60164382) |
| Enumeration Date | 2011-08-09 |
| Last Update Date | 2011-08-09 |