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520 S Walnut St Spokane WA 99204-3320 | |
| (509) 624-5228 | |
| (509) 624-7620 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 520 S Walnut St, Spokane, Washington |
| Authorized Official Name and Position | Mark R Brownlow (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5096243251 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
812 S Walnut St Spokane WA 99204-3326 Ph: (509) 624-3251 | 520 S Walnut St Spokane WA 99204-3320 Ph: (509) 624-5228 |
| NPI Number | 1598109407 |
|---|---|
| Provider Enumeration Date | 04/22/2013 |
| Last Update Date | 05/07/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598109407 | NPI | - | NPPES |
| 601 139 572 | Other | WA | UBI |
| 1991165 | Medicaid | WA |
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