| NPI | 1104360981 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYME JEAN ROGGE Aba Tech 425-308-0874 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: WA 103k00000x) |
| Enumeration Date | 2016-12-13 |
| Last Update Date | 2016-12-13 |