Organization
THE HEALING LODGE OF THE SEVEN NATIONS
Active
Parent organization
THE HEALING LODGE OF THE SEVEN NATIONS
Other names
The Healing Lodge - Sage Boys CD
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE HEALING LODGE OF THE SEVEN NATIONS
Authorized official
JAMES R WALDE PHD (FINANCIAL DIRECTOR)
(509) 533-6910
Entity
Organization
Contact information
Practice address
5600 E 8TH AVE, SPOKANE VALLEY, WA 99212-0220
(509) 533-6910
(509) 535-2863
Mailing address
5600 E 8TH AVE, SPOKANE VALLEY, WA 99212-0220
(509) 533-6910
(509) 535-2863
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
RTF-1023
WA
3245S0500X
Children's Substance Abuse Rehabilitation Facility
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Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
32150600
DSHA/DBHR
WA
Enumeration date
10/07/2010
Last updated
10/06/2023
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