| NPI | 1811311517 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL DANIELLE WAGNER CEO 360-333-5684 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 251S00000X Community/Behavioral Health (Licence: 1-10-7191) | |
| Enumeration Date | 2014-02-16 |
| Last Update Date | 2020-07-30 |