Come Alive Youth Services, LLC
NPI #1336788447 in Poulsbo, Washington
Provider Information
- NPI Number
- 1336788447
- Entity Type
- Organization
- Organization Name
- Come Alive Youth Services, LLC
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Jan 6, 2020
- Last Updated
- Jan 6, 2020
Practice Location
- Address
- 3367 NE IVERSON RD
- City
- Poulsbo
- State
- Washington
- ZIP Code
- 98370-8803
- Phone
- (360) 731-9884
Authorized Official
- Name
- DAVID SECREST
- Title
- OWNER/THERAPIST
- Phone
- (360) 731-9884
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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