Provider Demographics
NPI:1477752541
Name:YAKIMA COUNTY ASSESSMENT & REFERRAL SERVICES
Entity Type:Organization
Organization Name:YAKIMA COUNTY ASSESSMENT & REFERRAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:HUNT
Authorized Official - Suffix:
Authorized Official - Credentials:CDP
Authorized Official - Phone:509-574-2740
Mailing Address - Street 1:128 N 2ND ST RM B-18
Mailing Address - Street 2:
Mailing Address - City:YAKIMA
Mailing Address - State:WA
Mailing Address - Zip Code:98901-2639
Mailing Address - Country:US
Mailing Address - Phone:509-574-2740
Mailing Address - Fax:509-574-2741
Practice Address - Street 1:128 N 2ND ST RM B-18
Practice Address - Street 2:
Practice Address - City:YAKIMA
Practice Address - State:WA
Practice Address - Zip Code:98901-2639
Practice Address - Country:US
Practice Address - Phone:509-574-2740
Practice Address - Fax:509-574-2741
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-17
Last Update Date:2007-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1990753Medicaid