Provider Demographics
NPI:1750805115
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:COMPLIANCE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:FLATLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:425-270-6819
Mailing Address - Street 1:930 NE HIGH ST STE 101
Mailing Address - Street 2:
Mailing Address - City:ISSAQUAH
Mailing Address - State:WA
Mailing Address - Zip Code:98029-7417
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1118 5TH AVE
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98101-3001
Practice Address - Country:US
Practice Address - Phone:425-270-6819
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-27
Last Update Date:2017-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health