| NPI | 1568869311 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANE K H MIRAMONTEZ Co Owner/Administrative Director 206-829-9328 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2014-11-21 |
| Last Update Date | 2014-12-01 |