| NPI | 1710294863 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABIGAIL LEIGH MCNEIL Clinical Coordinator Sa 425-392-6367 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: WA co60166490) |
| Enumeration Date | 2010-09-10 |
| Last Update Date | 2014-03-19 |