| NPI | 1508213935 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN KNOX BURNETT Owner 425-202-5716 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH 60604834) |
| Enumeration Date | 2016-05-16 |
| Last Update Date | 2016-05-16 |