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NPI Code Detail

MEDICARE: YOUTH EASTSIDE SERVICES

MEDICARE: YOUTH EASTSIDE SERVICES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health Agency047WA

General Provider Information

NPI Number : 1356496335
Entity Type Code : Organization
Provider Name (Legal Business Name) : YOUTH EASTSIDE SERVICES
Provider Business Mailing Address
First Line : 999 164TH AVE NE
Second Line :
City : BELLEVUE
State : WA
Zip : 98008-3518
Country : US
Telephone Number : 425-747-4937
Fax Number : 425-747-4937
Provider Business Practice Location Address
First Line : 999 164TH AVE NE
Second Line :
City : BELLEVUE
State : WA
Zip : 98008-3518
Country : US
Telephone Number : 425-747-4937
Fax Number : 425-747-4937
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : PATTI SKELTON
Credential : E.D.
Telephone Number : 425-747-4937
Provider Enumeration Date : 01/23/2007
Last Update Date : 08/22/2020

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Directions to “YOUTH EASTSIDE SERVICES ” Practice Location

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