Provider Demographics
NPI:1871377606
Name:CARE LINX AUTISM LLC
Entity type:Organization
Organization Name:CARE LINX AUTISM LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GRACE
Authorized Official - Middle Name:
Authorized Official - Last Name:GITAU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:774-312-1810
Mailing Address - Street 1:1600B SW DASH POINT RD # 2261
Mailing Address - Street 2:
Mailing Address - City:FEDERAL WAY
Mailing Address - State:WA
Mailing Address - Zip Code:98023-4530
Mailing Address - Country:US
Mailing Address - Phone:774-312-1810
Mailing Address - Fax:
Practice Address - Street 1:23240 88TH AVE
Practice Address - Street 2:
Practice Address - City:S KENT
Practice Address - State:WA
Practice Address - Zip Code:98031
Practice Address - Country:US
Practice Address - Phone:774-312-1810
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-22
Last Update Date:2023-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health