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Organization

COMMUNITY DETOX SERVICES OF SPOKANE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BLAKE DONALD REDDING (ADMINISTRATOR)
(509) 570-7240
Entity
Organization

Contact information

Practice address
105 W 3RD AVE, SPOKANE, WA 99201-3609
(509) 570-7250
Mailing address
105 W 3RD AVE, SPOKANE, WA 99201-3609
(509) 570-7250

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
261QM0850X
Adult Mental Health Clinic/Center
Primary
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center

Other

Enumeration date
11/23/2021
Last updated
11/23/2021
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