Organization
RIVERSIDE RECOVERY CENTER
Active
Other names
Lakeside Recovery Centers of Spokane, INC.
Organization subpart
No
Provider details
NPI number
Authorized official
MISTY ARLENE SUSAN VICKERS (OFFICE MANAGER)
(509) 328-5234
Entity
Organization
Contact information
Practice address
3710 N MONROE ST, SPOKANE, WA 99205-2850
(509) 328-5234
(509) 328-2358
Mailing address
3710 N MONROE ST, SPOKANE, WA 99205-2850
(509) 328-5234
(509) 328-2358
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
32035100
WA
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
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Other
Enumeration date
01/11/2007
Last updated
10/14/2022
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