SPOKANE TREATMENT AND RECOVERY SERVICES NPI 1104957323

NPI Information

NPI: 1104957323
Provider Name: SPOKANE TREATMENT AND RECOVERY SERVICES
Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

CLIA Number: 50D2209782

Address:
4324 N JEFFERSON ST
SPOKANE, WA
ZIP 99205
Phone: (509) 315-8682
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SPOKANE TREATMENT AND RECOVERY SERVICES is an addiction (substance use disorder) counselor in Spokane, WA. SPOKANE TREATMENT AND RECOVERY SERVICES NPI is 1104957323. The provider is registered as an organization entity type.

The provider's business location address is:

4324 N JEFFERSON ST
SPOKANE, WA
ZIP 99205-209
Phone: (509) 315-8682
Fax: (509) 327-7816

The provider's authorized official is Joshua Mayer .
The authorized official title is Interim Executive Director and has the following contact phone number (509) 570-7250.

The CLIA number assigned to this NPI record is 50D2209782 - other - drug treatment with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/8/2007 and was last updated on 2/9/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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