| NPI | 1699144733 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIARA WINGFIELD Owner 206-419-3460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: WA 1-13-14923) |
| Additional Taxonomies | 251S00000X (Licence: WA 1-13-14923) |
| Enumeration Date | 2015-09-18 |
| Last Update Date | 2015-09-18 |