| NPI | 1801117080 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELVIN DALE DEJONG Chief Financial Officer 360-734-5121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2010-06-22 |
| Last Update Date | 2013-12-19 |