| NPI | 1003478660 |
|---|---|
| Former Legal Business Name | WONDERLAND DEVELOPMENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | KRISTI JOHNSON Billing Specialist 206-364-3777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 2251P0200X Physical Therapist, Pediatrics | |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2019-07-03 |
| Last Update Date | 2019-08-16 |