| NPI | 1295105518 |
|---|---|
| Doing Business As | PROVIDENCE CHILDREN'S DEVELOPMENT INSTITUTE AT CHILD CENTER |
| Entity Type | Organization |
| Authorized Contact | DONALD W ANDERSON Dir Reimb Reg Strat/Asst Sec Enroll 425-525-5392 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Additional Taxonomies | 2080P0008X Pediatrics, Neurodevelopmental Disabilities |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
| Enumeration Date | 2015-09-29 |
| Last Update Date | 2020-09-17 |