DAYBREAK YOUTH SERVICES NPI 1306851175

NPI Information

  • NPI: 1306851175
  • Provider Name: DAYBREAK YOUTH SERVICES
  • Classification: Substance Abuse Rehabilitation Facility - 3245S0500X
  • Specialization: Substance Abuse Treatment, Children
  • Entity Type: Organization
  • Address: 11910 NE 154TH ST
    BRUSH PRAIRIE, WA
    ZIP 98606
  • Phone: (360) 750-9588

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NPI Details

DAYBREAK YOUTH SERVICES is a substance abuse treatment and children substance abuse rehabilitation facility in Brush Prairie, WA. The provider is a facility or distinct part of a facility for children 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 1306851175. The provider is registered as an organization entity type.

The provider's business location address is:

11910 NE 154TH ST
BRUSH PRAIRIE, WA
ZIP 98606
Phone: (360) 750-9588
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 7/30/2006 and was last updated on 9/22/2022.

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
1323P00000XPsychiatric Residential Treatment FacilityNo
23245S0500XSubstance Abuse Rehabilitation FacilitySubstance Abuse Treatment, Children200451WASHINGTONYes

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
1200451OTHERWASHINGTONWA STATE DBHR
21007226MEDICAIDWASHINGTON

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: 11/21/2025

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