| Autism Therapy Services Of Moses Lake, Llc | |
|
618 S Alder St Moses Lake WA 98837-1760 | |
| (509) 764-6644 | |
| (509) 764-6676 |
| Full Name | Autism Therapy Services Of Moses Lake, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 618 S Alder St, Moses Lake, Washington |
| Authorized Official Name and Position | Yvonne R Reigstad (ADMINISTRATOR/EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5097646644 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Autism Therapy Services Of Moses Lake, Llc 618 S Alder St Moses Lake WA 98837-1760 Ph: (509) 764-6644 | Autism Therapy Services Of Moses Lake, Llc 618 S Alder St Moses Lake WA 98837-1760 Ph: (509) 764-6644 |
| NPI Number | 1285170290 |
|---|---|
| Provider Enumeration Date | 01/13/2017 |
| Last Update Date | 01/13/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285170290 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 604002137 (Washington) | Primary |
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