| NPI | 1407113236 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA HALL Executive Director 360-337-2222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2012-04-18 |
| Last Update Date | 2012-04-18 |