Healthcare Provider Details

I. General information

NPI: 1295993848
Provider Name (Legal Business Name): YCA CASE MANAGEMENT, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/30/2008
Last Update Date: 05/30/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 6TH AVE STE 1800
SEATTLE WA
98101-5300
US

IV. Provider business mailing address

1200 6TH AVE STE 1800
SEATTLE WA
98101-5300
US

V. Phone/Fax

Practice location:
  • Phone: 206-343-6100
  • Fax:
Mailing address:
  • Phone: 206-343-6100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code305R00000X
TaxonomyPreferred Provider Organization
License Number6017673481
License Number StateWA

VIII. Authorized Official

Name: MR. PAUL MAYER
Title or Position: PRESIDENT
Credential:
Phone: 206-343-6100