| NPI | 1124767587 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZAY AIDAN SMITH MCSHANE Executive Director 360-671-5898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 251B00000X Case Management | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 253Z00000X In Home Supportive Care | |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2022-06-02 |
| Last Update Date | 2022-06-02 |