| NPI | 1063493393 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLLEEN FUCHS Executive Director 509-326-1651 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Additional Taxonomies | 251C00000X |
| Enumeration Date | 2005-11-14 |
| Last Update Date | 2022-09-15 |