Organization
ATLANTIC STREET CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAN YULY (DIRECTOR OF OPERATIONS AND FINANCE)
(206) 329-2050
Entity
Organization
Contact information
Practice address
2103 S ATLANTIC ST, SEATTLE, WA 98144-3615
(206) 329-2050
(206) 329-2171
Mailing address
2103 S ATLANTIC ST, SEATTLE, WA 98144-3615
(206) 329-2050
(206) 329-2171
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
147
WA
261QM0855X
Adolescent and Children Mental Health Clinic/Center
147
WA
Other
Enumeration date
11/09/2010
Last updated
11/19/2012
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