Organization
EXCELSIOR WELLNESS
Active
Other names
Excelsior
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW R HILL MS, LMHC, CMHS, RRT (CEO/PRESIDENT)
(509) 328-7041
Entity
Organization
Contact information
Practice address
3754 W INDIAN TRAIL RD, SPOKANE, WA 99208-4736
(509) 328-7041
(509) 328-7582
Mailing address
3754 W INDIAN TRAIL RD, SPOKANE, WA 99208-4736
(509) 559-3100
(509) 328-7582
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
32 0893 00 / 181
WA
251C00000X
Developmentally Disabled Services Day Training Agency
32 0893 00 / 181
WA
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
32 0893 00 / 181
WA
261QM0855X
Adolescent and Children Mental Health Clinic/Center
32 0893 00 / 181
WA
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
32 0893 00 / 181
WA
320800000X
Mental Illness Community Based Residential Treatment Facility
32 0893 00 / 181
WA
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
32 0893 00 / 181
WA
323P00000X
Psychiatric Residential Treatment Facility
32 0893 00 / 181
WA
3245S0500X
Children's Substance Abuse Rehabilitation Facility
32 0893 00 / 181
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007885
—
WA
05
—
1993435
—
WA
05
—
2015145
—
WA
05
—
450639
—
WA
Enumeration date
04/24/2007
Last updated
09/28/2021
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