Organization
CHILDRENS DEVELOPMENTAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTI LYNN BAZE (BUSINESS ADMINISTRATOR)
(509) 737-1492
Entity
Organization
Contact information
Practice address
1549 GEORGIA AVE, SUITE A, RICHLAND, WA 99352-4756
(509) 735-1062
Mailing address
1549 GEORGIA AVE, SUITE A, RICHLAND, WA 99352-4756
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
06/29/2007
Last updated
08/22/2020
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