| NPI | 1376872929 |
|---|---|
| Other Name | PRIDE FOR KIDS |
| Entity Type | Organization |
| Authorized Contact | TRACYLYN BROERSMA Medical Billing Specialist 360-759-4917 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services (Licence: WA PT60116751) |
| Enumeration Date | 2009-12-10 |
| Last Update Date | 2009-12-10 |