| Northstore Youth & Family Svcs | |
|
10309 Northeast 185th Street Bothell WA 98011-3437 | |
| (425) 485-6541 | |
| (425) 485-4154 |
| Full Name | Northstore Youth & Family Svcs |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 10309 Northeast 185th Street, Bothell, Washington |
| Authorized Official Name and Position | Bruce A Mulvey (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4254856541 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northstore Youth & Family Svcs 10309 Northeast 185th Street Bothell WA 98011-3437 Ph: (425) 485-6541 | Northstore Youth & Family Svcs 10309 Northeast 185th Street Bothell WA 98011-3437 Ph: (425) 485-6541 |
| NPI Number | 1881735652 |
|---|---|
| Provider Enumeration Date | 02/12/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881735652 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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