| NPI | 1407120215 |
|---|---|
| Other Name | DOUGLAS ESD - KLAMATH CO EI/ECSE |
| Entity Type | Organization |
| Authorized Contact | SUSAN GRAHAM Ei/Ecse Regional Director 541-440-4777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2012-02-27 |
| Last Update Date | 2012-02-27 |