Organization
MUSEUM OF SPECIAL ART
Active
Organization
MUSEUM OF SPECIAL ART
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DORI TAYLOR GUTESON LICSW (VICE PRESIDENT OF MOSA)
(206) 321-9998
Entity
Organization
Contact information
Practice address
8001 14TH AVE NE, SUITE A, SEATTLE, WA 98115-0001
(206) 687-9239
Mailing address
8001 14TH AVE NE, SUITE A, SEATTLE, WA 98115-0001
(206) 687-9239
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
12/11/2020
Last updated
12/11/2020
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