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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