Organization
COUNTY OF GRANT
Active
Other names
DIRECTIONS IN COMMUNITY LIVING
Organization subpart
No
Provider details
NPI number
Authorized official
GAIL GOODWIN BA (PROGRAM DIRECTOR)
(509) 765-9239
Entity
Organization
Contact information
Practice address
1103 LOWRY ST, MOSES LAKE, WA 98837-3164
(509) 762-1161
(509) 762-6922
Mailing address
1103 LOWRY ST, MOSES LAKE, WA 98837-3164
(509) 762-1161
(509) 762-6922
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200012501
—
WA
Enumeration date
10/08/2012
Last updated
06/18/2015
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