Organization
AUTISM THERAPY SERVICES OF MOSES LAKE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. YVONNE R REIGSTAD (ADMINISTRATOR/EXECUTIVE DIRECTOR)
(509) 764-6644
Entity
Organization
Contact information
Practice address
618 S ALDER ST, MOSES LAKE, WA 98837-1760
(509) 764-6644
(509) 764-6676
Mailing address
618 S ALDER ST, MOSES LAKE, WA 98837-1760
(509) 764-6644
(509) 764-6676
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
604002137
WA
Other
Enumeration date
01/13/2017
Last updated
01/13/2017
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