| Daybreak Youth Services | |
|
200 N Mullan Rd Suite 120 Spokane Valley WA 99206 | |
| (509) 927-1688 | |
| (509) 444-7038 |
| Full Name | Daybreak Youth Services |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 200 N Mullan Rd, Spokane Valley, Washington |
| Authorized Official Name and Position | Thomas Russell (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5094447033 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Daybreak Youth Services 960 E 3rd Ave Spokane WA 99202-2241 Ph: (509) 444-7033 | Daybreak Youth Services 200 N Mullan Rd Suite 120 Spokane Valley WA 99206 Ph: (509) 927-1688 |
| NPI Number | 1518973445 |
|---|---|
| Provider Enumeration Date | 07/31/2006 |
| Last Update Date | 09/22/2022 |
| Certification Date | 09/22/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518973445 | NPI | - | NPPES |
| 1012387 | Medicaid | WA | |
| 011600 | Other | WA | WA STATE DBHR |
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