| NPI | 1669239950 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA TROUT Occupational Therapist 360-402-2213 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2024-03-04 |
| Last Update Date | 2024-04-15 |