Friends Of Youth | |
414 Front St N Issaquah WA 98027-2914 | |
(425) 392-6367 | |
Not Available |
Full Name | Friends Of Youth |
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Speciality | Community/behavioral Health |
Location | 414 Front St N, Issaquah, Washington |
Authorized Official Name and Position | Nichole Wymaster (SUBSTANCE ABUSE COUNSELOR) |
Authorized Official Contact | 4253926367 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Friends Of Youth 414 Front St N Po Box 12 Issaquah WA 98027-2914 Ph: () - | Friends Of Youth 414 Front St N Issaquah WA 98027-2914 Ph: (425) 392-6367 |
NPI Number | 1609063114 |
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Provider Enumeration Date | 09/28/2007 |
Last Update Date | 09/28/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1609063114 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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