| NPI | 1265776918 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL ISHIZUKA Chief Financial Officer 360-814-5838 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QD1600X Clinic/Center Developmental Disabilities (Licence: WA H-207) |
| Enumeration Date | 2012-11-19 |
| Last Update Date | 2017-12-06 |