Organization
GOODWILL INDUSTRIES OF THE INLAND NORTHWEST
Active
Organization
GOODWILL INDUSTRIES OF THE INLAND NORTHWEST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CLARK MONTGOMERY BREKKE (PRESIDENT/CEO/EXECUTIVE OFFICE)
(509) 444-4381
Entity
Organization
Contact information
Practice address
130 E 3RD AVE, SPOKANE, WA 99202-1410
(509) 838-4246
(509) 444-4371
Mailing address
130 E 3RD AVE, SPOKANE, WA 99202-1410
(509) 838-4246
(509) 444-4371
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003122500
—
ID
05
—
003122600
—
ID
05
—
804182600
—
ID
05
—
805073000
—
ID
05
—
807090100
—
ID
05
—
807365200
—
ID
Enumeration date
03/19/2007
Last updated
08/06/2026
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