RIVERSIDE RECOVERY CENTER NPI 1396895496

NPI Details

RIVERSIDE RECOVERY CENTER is a community behavioral health in Spokane, WA. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. RIVERSIDE RECOVERY CENTER NPI is 1396895496. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Lakeside Recovery Centers Of Spokane, Inc..

The provider's business location address is:

3710 N MONROE ST
SPOKANE, WA
ZIP 99205-850
Phone: (509) 328-5234
Fax: (509) 328-2358

The provider's authorized official is Misty Arlene Susan Vickers .
The authorized official title is Office Manager and has the following contact phone number (509) 328-5234.

The CLIA number assigned to this NPI record is 50D2215077 - other - drug treatment with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/11/2007 and was last updated on 10/14/2022.

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: