Organization
YAKIMA SPECIALTIES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS P GANNON (EXECUTIVE DIRECTOR)
(509) 453-0386
Entity
Organization
Contact information
Practice address
1819 W J ST, YAKIMA, WA 98902-1227
(509) 453-0386
(509) 453-1279
Mailing address
1819 W J ST, YAKIMA, WA 98902-1227
(509) 453-0386
(509) 453-1279
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
397-018-990
WA
Other
Enumeration date
11/09/2016
Last updated
11/09/2016
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