Organization
NORTHSTORE YOUTH & FAMILY SVCS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRUCE A MULVEY MA (EXECUTIVE DIRECTOR)
(425) 485-6541
Entity
Organization
Contact information
Practice address
10309 NORTHEAST 185TH STREET, BOTHELL, WA 98011-3437
(425) 485-6541
(425) 485-4154
Mailing address
10309 NORTHEAST 185TH STREET, BOTHELL, WA 98011-3437
(425) 485-6541
(425) 485-4154
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
02/12/2007
Last updated
08/22/2020
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