Organization
DUNGARVIN WASHINGTON CHILDREN'S SERVICES, LLC
Active
Parent organization
DUNGARVIN GROUP, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
DUNGARVIN GROUP, INC.
Authorized official
LORI KRESS (CEO)
(651) 789-5906
Entity
Organization
Contact information
Practice address
528 E SPOKANE FALLS BLVD STE 504, SPOKANE, WA 99202-5050
(509) 328-2740
(509) 328-0773
Mailing address
1444 NORTHLAND DR STE 200, MENDOTA HEIGHTS, MN 55120-1032
(651) 699-0206
(651) 699-0799
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
1SLSTAR002-1
ID
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
4SLSTAR054
ID
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
12/13/2010
Last updated
10/08/2024
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