| NPI | 1124563911 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT GOETTLE Lead Teacher 206-372-8400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH00004179) |
| Enumeration Date | 2017-01-03 |
| Last Update Date | 2017-01-03 |