| NPI | 1922515519 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOM R GAULKE CEO 509-834-1220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385H00000X Respite Care |
| Additional Taxonomies | 251B00000X Case Management |
| 251C00000X Day Training, Developmentally Disabled Services | |
| Enumeration Date | 2018-01-04 |
| Last Update Date | 2018-01-04 |