Organization
CORNERSTONE YOUTH COLLECTIVE
Active
Other names
Cornerstone Youth Collective
Organization subpart
No
Provider details
NPI number
Authorized official
MISS KAYLIAH D BECKNELL AAC , CBT (CEO & CO FOUNDER)
(425) 390-4062
Entity
Organization
Contact information
Practice address
720 SENECA ST STE 107, SEATTLE, WA 98101-3265
(425) 390-4062
Mailing address
720 SENECA ST STE 107, SEATTLE, WA 98101-3265
(425) 390-4062
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1366191223
—
WA
Enumeration date
04/15/2024
Last updated
05/08/2024
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