| NPI | 1104671585 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER WRZESIEN Occupational Therapist 360-207-4560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center Developmental Disabilities |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 251S00000X Community/Behavioral Health | |
| 252Y00000X Early Intervention Provider Agency | |
| 261QR0400X Clinic/Center Rehabilitation | |
| Enumeration Date | 2024-04-19 |
| Last Update Date | 2024-04-19 |