| NPI | 1194943456 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL GEORGE JURICH Clinic Supervisor 206-344-4423 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251300000X Local Education Agency (LEA) (Licence: WA DE00004630) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2020-08-22 |