| NPI | 1730519760 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COURTNEY VANGUILDER Administrator 206-930-4285 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA CG60411515) |
| Enumeration Date | 2013-11-12 |
| Last Update Date | 2013-11-12 |