| Community Youth Services | |
|
711 State Ave Ne Olympia WA 98506-3984 | |
| (360) 943-0780 | |
| (360) 943-0785 |
| Full Name | Community Youth Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 711 State Ave Ne, Olympia, Washington |
| Authorized Official Name and Position | Derek Ray Harris (CEO) |
| Authorized Official Contact | 3609180780 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Youth Services 711 State Ave Ne Olympia WA 98506-3984 Ph: (360) 943-0780 | Community Youth Services 711 State Ave Ne Olympia WA 98506-3984 Ph: (360) 943-0780 |
| NPI Number | 1386997138 |
|---|---|
| Provider Enumeration Date | 10/17/2012 |
| Last Update Date | 04/12/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386997138 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 281 (Washington) | Primary |
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