| NPI | 1114098274 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBIN LYSANE PELLETIER Executive Director 360-750-5850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2006-11-12 |
| Last Update Date | 2020-08-22 |