| Archangel Catholic Pllc | |
|
1124 W Riverside Ave Ste 305 Spokane WA 99201-1109 | |
| (208) 557-1780 | |
| Not Available |
| Full Name | Archangel Catholic Pllc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1124 W Riverside Ave Ste 305, Spokane, Washington |
| Authorized Official Name and Position | Michael D'esterre (OWNER) |
| Authorized Official Contact | 2085571780 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Archangel Catholic Pllc 4515 N A St Spokane WA 99205-1605 Ph: (208) 557-1780 | Archangel Catholic Pllc 1124 W Riverside Ave Ste 305 Spokane WA 99201-1109 Ph: (208) 557-1780 |
| NPI Number | 1487460648 |
|---|---|
| Provider Enumeration Date | 12/03/2024 |
| Last Update Date | 12/03/2024 |
| Certification Date | 12/03/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487460648 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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