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Organization

CPF BREAKTHROUGH, LLC

Active
Parent organization
CPF BREAKTHROUGH, LLC
Other names
Breakthrough Recovery Group, Breakthrough Recovery Group - Downtown
Organization subpart
Yes

Provider details

NPI number
Legal business name
CPF BREAKTHROUGH, LLC
Authorized official
LISA F PARKER NCACII, SUDP (EXECUTIVE DIRECTOR)
(509) 927-6838
Entity
Organization

Contact information

Practice address
11711 E SPRAGUE AVE STE D4, SPOKANE VALLEY, WA 99206-6122
(509) 927-6838
(509) 927-6845
Mailing address
11711 E SPRAGUE AVE STE D4, SPOKANE VALLEY, WA 99206-6122
(509) 927-6838
(509) 927-6845

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YM0800X
Mental Health Counselor
251B00000X
Case Management Agency
251S00000X
Community/Behavioral Health Agency
261Q00000X
Clinic/Center
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2268076
WA
01
61101238
BEHAVIOR HEALTH AGENCY SUBSTANCE USE & MENTAL HEALTH
WA
01
61468012
BEHAVIOR HEALTH AGENCY SUBSTANCE USE & MENTAL HEALTH
WA
Enumeration date
11/03/2020
Last updated
01/31/2024
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