| NPI | 1457126740 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEANNA LYNN HERRING-JENSEN Executive Director 360-928-5884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child |
| Enumeration Date | 2023-11-16 |
| Last Update Date | 2023-11-16 |