| NPI | 1124281936 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL V JORDAN Executive Director 425-644-4344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: WA 600399606) |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2013-07-01 |