| NPI | 1447510631 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN FAUST Registered Agent 206-767-8076 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: WA 60261534) |
| Enumeration Date | 2012-05-21 |
| Last Update Date | 2012-05-21 |