| NPI | 1649712449 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS P GANNON Executive Director 509-453-0386 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services (Licence: WA 397-018-990) |
| Enumeration Date | 2016-11-09 |
| Last Update Date | 2016-11-09 |