Organization
FRIENDS OF YOUTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NICHOLE WYMASTER MA, CDPT (SUBSTANCE ABUSE COUNSELOR)
(425) 392-6367
Entity
Organization
Contact information
Practice address
414 FRONT ST N, ISSAQUAH, WA 98027-2914
(425) 392-6367
Mailing address
414 FRONT ST N, PO BOX 12, ISSAQUAH, WA 98027-2914
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/28/2007
Last updated
09/28/2007
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