| Daybreak Youth Services | |
|
628 S Cowley St Spokane WA 99202 | |
| (509) 624-3227 | |
| (509) 459-3920 |
| Full Name | Daybreak Youth Services |
|---|---|
| Speciality | Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children |
| Location | 628 S Cowley St, Spokane, Washington |
| Authorized Official Name and Position | Thomas Russell (CEO) |
| 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 628 S Cowley St Spokane WA 99202 Ph: (509) 624-3227 |
| NPI Number | 1073534228 |
|---|---|
| Provider Enumeration Date | 07/22/2006 |
| Last Update Date | 09/22/2022 |
| Certification Date | 09/22/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073534228 | NPI | - | NPPES |
| 2054230 | Medicaid | WA | |
| 011601 | Other | WA | WA STATE DBHR |
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