Organization
FRIENDS OF YOUTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ABIGAIL LEIGH MCNEIL BS, CDP (CLINICAL COORDINATOR SA)
(425) 392-6367
Entity
Organization
Contact information
Practice address
414 FRONT ST N., ISSAQUAH, WA 98045-0001
(425) 392-6367
(425) 391-4971
Mailing address
PO BOX 12, 414 FRONT ST N, ISSAQUAH, WA 98027-0001
(425) 392-6367
(425) 391-4971
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
CO60166490
WA
Other
Enumeration date
09/10/2010
Last updated
03/19/2014
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