| NPI | 1710351374 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH DALE SCHAFER President / Owner 509-470-7063 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: WA fc0000029) |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2015-11-19 |
| Last Update Date | 2015-11-19 |