| NPI | 1174129399 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DORI TAYLOR GUTESON Vice President Of Mosa 206-321-9998 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2020-12-11 |
| Last Update Date | 2020-12-11 |