| NPI | 1942811211 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARISSA JOHNSON Occupational Therapist 253-216-2589 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Additional Taxonomies | 261Q00000X |
| Enumeration Date | 2020-08-11 |
| Last Update Date | 2021-02-09 |