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4305 East Trent Avenue Spokane WA 99212 | |
| (097) 953-1335 | |
| (509) 795-3141 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Methadone |
| Location | 4305 East Trent Avenue, Spokane, Washington |
| Authorized Official Name and Position | Brian Phillip Farley (VP & SECRETARY) |
| Authorized Official Contact | 6158616000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
6183 Paseo Del Norte Ste 200 Carlsbad CA 92011-1151 Ph: (760) 710-0831 | 4305 East Trent Avenue Spokane WA 99212 Ph: (097) 953-1335 |
| NPI Number | 1215205224 |
|---|---|
| Provider Enumeration Date | 12/05/2011 |
| Last Update Date | 10/24/2024 |
| Certification Date | 10/24/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215205224 | NPI | - | NPPES |
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