Organization
COME ALIVE YOUTH SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID SECREST (OWNER/THERAPIST)
(360) 731-9884
Entity
Organization
Contact information
Practice address
3367 NE IVERSON RD, POULSBO, WA 98370-8803
(360) 731-9884
Mailing address
3367 NE IVERSON RD, POULSBO, WA 98370-8803
(360) 731-9884
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/06/2020
Last updated
01/06/2020
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