Provider Demographics
NPI:1043597313
Name:A POSITIVE ALTERNATIVE
Entity Type:Organization
Organization Name:A POSITIVE ALTERNATIVE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MARTHA
Authorized Official - Middle Name:MUNROE
Authorized Official - Last Name:LAYZER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:206-535-8860
Mailing Address - Street 1:4649 SUNNYSIDE AVE N
Mailing Address - Street 2:SUITE 200
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98103-6900
Mailing Address - Country:US
Mailing Address - Phone:206-535-8860
Mailing Address - Fax:206-547-5187
Practice Address - Street 1:4649 SUNNYSIDE AVE N
Practice Address - Street 2:SUITE 200
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98103-6900
Practice Address - Country:US
Practice Address - Phone:206-547-2996
Practice Address - Fax:206-547-5187
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-14
Last Update Date:2023-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA17044000101YA0400X, 251S00000X
261QM0801X, 261QR0405X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty
No251S00000XAgenciesCommunity/Behavioral Health
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
WABHA.FS.60873798OtherDEPTARTMENT OF HEALTH
WABHA.FS.61387467OtherDEPARTMENT OF HEALTH