| Spokane County | |
|
1208 W Mallon Ave Spokane County Juvenile Court Spokane WA 99201-2041 | |
| (509) 477-2406 | |
| Not Available |
| Full Name | Spokane County |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1208 W Mallon Ave, Spokane, Washington |
| Authorized Official Name and Position | Marshall Farnell (CEO) |
| Authorized Official Contact | 5094772600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spokane County 1116 W Broadway Ave Office Of Financial Assistance Spokane WA 99260-2052 Ph: (509) 477-7273 | Spokane County 1208 W Mallon Ave Spokane County Juvenile Court Spokane WA 99201-2041 Ph: (509) 477-2406 |
| NPI Number | 1518210806 |
|---|---|
| Provider Enumeration Date | 10/24/2012 |
| Last Update Date | 10/24/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518210806 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 252 (Washington) | Primary |
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