| Spokane County Juvenile Court | |
|
1208 W Mallon Ave Spokane WA 99201-2041 | |
| (509) 477-2448 | |
| (509) 477-2496 |
| Full Name | Spokane County Juvenile Court |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1208 W Mallon Ave, Spokane, Washington |
| Authorized Official Name and Position | Bonnie Bush (DIRECTOR) |
| Authorized Official Contact | 5094772406 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spokane County Juvenile Court 1208 W Mallon Ave Spokane WA 99201-2041 Ph: (509) 477-2448 | Spokane County Juvenile Court 1208 W Mallon Ave Spokane WA 99201-2041 Ph: (509) 477-2448 |
| NPI Number | 1386877058 |
|---|---|
| Provider Enumeration Date | 08/28/2009 |
| Last Update Date | 08/28/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386877058 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 252 (Washington) | Primary |
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