DAYBREAK YOUTH SERVICES NPI 1073534228

NPI Information

NPI: 1073534228
Provider Name: DAYBREAK YOUTH SERVICES
Classification: Substance Abuse Rehabilitation Facility - 3245S0500X
Entity Type: Organization

Specialization: Substance Abuse Treatment, Children

Address:
628 S COWLEY ST
SPOKANE, WA
ZIP 99202
Phone: (509) 624-3227
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DAYBREAK YOUTH SERVICES is a substance abuse treatment and children substance abuse rehabilitation facility in Spokane, WA. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included. DAYBREAK YOUTH SERVICES NPI is 1073534228. The provider is registered as an organization entity type.

The provider's business location address is:

628 S COWLEY ST
SPOKANE, WA
ZIP 99202
Phone: (509) 624-3227
Fax: (509) 459-3920

The provider's authorized official is Thomas Russell .
The authorized official title is Ceo and has the following contact phone number (509) 444-7033.

The enumeration date for this NPI number is 7/22/2006 and was last updated on 2/5/2020.

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	261QM0855X	Clinic/Center	Adolescent and Children Mental Health	011601	WASHINGTON	No
2	3245S0500X	Substance Abuse Rehabilitation Facility	Substance Abuse Treatment, Children	011601	WASHINGTON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2054230	MEDICAID	WASHINGTON
2	011601	OTHER	WASHINGTON	WA STATE DBHR

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: 11/14/2023

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