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Organization
CEDARCREST BEHAVIORAL MEDICINE LLC
Active
Organization
CEDARCREST BEHAVIORAL MEDICINE LLC
Active
Other names
Cedarcrest Behavioral Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE WANGAI MSN, APRN, PMHNP-BC (CO-OWNER)
(770) 292-0854
Entity
Organization
Contact information
Practice address
12623 E SPRAGUE AVE STE 6, SPOKANE VALLEY, WA 99216-0764
(509) 505-4035
(509) 253-5183
Mailing address
12623 E SPRAGUE AVE STE 6, SPOKANE VALLEY, WA 99216-0764
(509) 505-4035
(509) 253-5183
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
311ZA0620X
Adult Care Home Facility
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/22/2025
Last updated
03/12/2026
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