NPI | 1790005544 |
---|---|
Entity Type | Organization |
Authorized Contact | TAMI CAMPBELL Owner/Director 206-862-3351 |
Organization Subpart ? | No |
Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: ME 213554) |
Enumeration Date | 2010-06-03 |
Last Update Date | 2010-06-03 |