Organization
VASHON YOUTH AND FAMILY SERVICES
Active
Other names
VYFS
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIANNE R ROSE MA CDP (CD CLINICAL SUPERVISOR)
(206) 463-5511
Entity
Organization
Contact information
Practice address
20110 VASHON HWY SW, VASHON, WA 98070
(206) 463-5511
(206) 632-5513
Mailing address
PO BOX 237, VASHON, WA 98070
(206) 463-5511
(206) 463-5513
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
159
WA
261QM0850X
Adult Mental Health Clinic/Center
159
WA
261QM0855X
Adolescent and Children Mental Health Clinic/Center
159
WA
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
17 1460 00
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
601091281
UBI STATE LICENSE
WA
05
—
RU#651
—
WA
Enumeration date
06/14/2007
Last updated
10/20/2009
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