| Atlantic Street Center | |
|
2103 S Atlantic St Seattle WA 98144-3615 | |
| (206) 329-2050 | |
| (206) 329-2171 |
| Full Name | Atlantic Street Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2103 S Atlantic St, Seattle, Washington |
| Authorized Official Name and Position | Dan Yuly (DIRECTOR OF OPERATIONS AND FINANCE) |
| Authorized Official Contact | 2063292050 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Atlantic Street Center 2103 S Atlantic St Seattle WA 98144-3615 Ph: (206) 329-2050 | Atlantic Street Center 2103 S Atlantic St Seattle WA 98144-3615 Ph: (206) 329-2050 |
| NPI Number | 1447551221 |
|---|---|
| Provider Enumeration Date | 11/09/2010 |
| Last Update Date | 11/19/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447551221 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 147 (Washington) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | 147 (Washington) | Secondary |
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