Organization
DAYBREAK YOUTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS RUSSELL (CEO)
(509) 444-7033
Entity
Organization
Contact information
Practice address
628 S COWLEY ST, SPOKANE, WA 99202
(509) 624-3227
(509) 459-3920
Mailing address
960 E 3RD AVE, SPOKANE, WA 99202-2241
(509) 444-7033
(509) 927-1851
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
011601
WA
323P00000X
Psychiatric Residential Treatment Facility
—
—
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
011601
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011601
WA STATE DBHR
WA
05
—
2054230
—
WA
Enumeration date
07/22/2006
Last updated
09/22/2022
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