Provider Demographics
NPI:1215358676
Name:YOUNG WOMENS CHRISTIAN ASSOCIATION OF SEATTLE KING COUNTY SNOHOMIS COU
Entity Type:Organization
Organization Name:YOUNG WOMENS CHRISTIAN ASSOCIATION OF SEATTLE KING COUNTY SNOHOMIS COU
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MS
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:D
Authorized Official - Last Name:SHERBROOKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:206-461-4851
Mailing Address - Street 1:1118 5TH AVE
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98101-3001
Mailing Address - Country:US
Mailing Address - Phone:206-461-4888
Mailing Address - Fax:206-461-4453
Practice Address - Street 1:19703 68TH AVENUE WEST
Practice Address - Street 2:
Practice Address - City:LYNNWOOD
Practice Address - State:WA
Practice Address - Zip Code:98036-4505
Practice Address - Country:US
Practice Address - Phone:425-412-2360
Practice Address - Fax:425-412-2379
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-02
Last Update Date:2014-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA287251B00000X, 251S00000X
WA249251B00000X, 251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251B00000XAgenciesCase Management