DAYBREAK YOUTH SERVICES (NPI# 1073534228) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073534228 |
| Entity Type | Organization |
| Organization Name | DAYBREAK YOUTH SERVICES |
| Practice Address |
628 S Cowley St Spokane WA 99202 |
| Mailing Address |
960 E 3rd Ave Spokane WA 99202-2241 |
| Practice Telephone | 5096243227 |
| Practice Fax Number | 5094593920 |
| Mailing Telephone | 5094447033 |
| Mailing Fax Number | 5099271851 |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2020-02-05 |
| Authorized Official Name | MR. THOMAS RUSSELL (CEO) |
| Authorized Official Telephone | 5094447033 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
011601 | WA | Ambulatory Health Care Facilities |
| Y | 3245S0500X |
Substance Abuse Rehabilitation Facility Specialization: Substance Abuse Treatment, Children |
011601 | WA | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 2054230 | 05 | |
| WA | WA STATE DBHR | 011601 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306851175 | Daybreak Youth Services | Clinic/Center | 11910 Ne 154th St, Brush Prairie, WA 98606 | 2006-07-30 |
| 1639644842 | Daybreak Youth Services | Peer Specialist | 628 S Cowley St, Spokane, WA 99202-1377 | 2018-10-04 |
| 1003199712 | Daybreak Youth Services | Counselor | 11818 Se Mill Plain Blvd, Suite 307, Vancouver, WA 98684 | 2011-09-20 |
| 1518973445 | Daybreak Youth Services | Case Management | 200 N Mullan Rd, Suite 120, Spokane Valley, WA 99206 | 2006-07-31 |
| 1376558049 | Daybreak Youth Services | Counselor | 10814 E Broadway Ave, Suite 202 - 293, Spokane Valley, WA 99206-5003 | 2006-07-30 |
| Street Address |
628 S COWLEY ST |
| City | SPOKANE |
| State | WA |
| Zip Code | 99202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245866037 | Sheridan Sage Arntzen | Counselor | 628 S Cowley St, Spokane, WA 99202-1377 | 2020-03-12 |
| 1447899919 | Sheenna Lee Mcadoo | Counselor | 628 S Cowley St, Spokane, WA 99202-1377 | 2020-01-02 |
| 1962057851 | Julia Lillian Montiel | Peer Specialist | 628 S Cowley St, Spokane, WA 99202-1377 | 2019-08-07 |
| 1295392314 | Sharon A Olson | Peer Specialist | 628 S Cowley St, Spokane, WA 99202-1377 | 2019-05-23 |
| 1346715976 | Shawna Marie Usher | Peer Specialist | 628 S Cowley St, Spokane, WA 99202-1377 | 2018-10-10 |
| 1639644842 | Daybreak Youth Services | Peer Specialist | 628 S Cowley St, Spokane, WA 99202-1377 | 2018-10-04 |
| 1215402441 | Erandy Trejo Montiel | Peer Specialist | 628 S Cowley St, Spokane, WA 99202-1377 | 2018-10-03 |
| 1790269884 | Candace Judd | Counselor | 628 S Cowley St, Spokane, WA 99202-1377 | 2018-09-24 |
| 1659858462 | Fabiola B Vidrios | Counselor | 628 S Cowley St, Spokane, WA 99202-1377 | 2018-07-24 |
| 1962921411 | Crystal Jane Andrews | Substance Abuse Rehabilitation Facility | 628 S Cowley St, Spokane, WA 99202-1377 | 2017-09-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669099552 | Morgan Physiotherapy, Pllc | Physical Therapist | 716 South Arthur Street, Spokane, WA 99202 | 2020-06-26 |
| 1659926863 | Hiliary Beatty | Marriage & Family Therapist | 3101 E Boone Avenue, Spokane, WA 99202 | 2019-08-05 |
| 1992359301 | Jennifer Pelzel | Pharmacist | Pbs, 205 E Spokane Falls Blvd, Spokane, WA 99202 | 2019-07-25 |
| 1750858171 | Elyse M Tullar | Counselor | 3101 E Boone Ave, Spokane, WA 99202 | 2018-10-24 |
| 1952830333 | Kaleb E Walker | Case Manager/Care Coordinator | 1002 N Superior, Spokane, WA 99202 | 2017-06-08 |
| 1659823987 | Laura Lenoue | Chiropractor | 301 E Sharp, Lenoue Integrative Medicine, Spokane, WA 99202 | 2016-11-03 |
| 1376095141 | Clinton George Ralph | Counselor | 624 S Cowley, Spokane, WA 99202 | 2016-10-27 |
| 1144772245 | Megan Nicole Korst | Counselor | 104 S. Freya, Red Flag Bldg, Suite 101b, Spokane, WA 99202 | 2016-10-25 |
| 1043766652 | Moffitt Children's Dentistry | Dentist | 520 S Cowley St Ste 101, Spokane, WA 99202 | 2016-09-01 |
| 1881147296 | Natalie Stine | Dietitian, Registered | 203 E Spague Avenue, Spokane, WA 99202 | 2016-08-02 |
| Find all providers in zip 99202 | ||||
| Taxonomy Code | 3245S0500X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| Specialization | Substance Abuse Treatment, Children |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962921411 | Crystal Jane Andrews | Substance Abuse Rehabilitation Facility | 628 S Cowley St, Spokane, WA 99202-1377 | 2017-09-15 |
| 1992183685 | Felicia Cassandra Reineman | Substance Abuse Rehabilitation Facility | 3754 W Indian Trail Rd, Spokane, WA 99208-4736 | 2015-05-13 |
| 1194118539 | New Developed Nations, LLC | Substance Abuse Rehabilitation Facility | 631 S Richard Allen Ct, Spokane, WA 99202-2345 | 2015-03-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679765226 | Kitsap County Juvenile Department | Substance Abuse Rehabilitation Facility | 1338 Sw Old Clifton Rd, Port Orchard, WA 98367-9113 | 2007-08-16 |
| 1427266386 | Ryther Child Center | Substance Abuse Rehabilitation Facility | 11729 36th Ave Ne, Seattle, WA 98125 | 2007-05-21 |
| 1548478001 | Ryther Child Center | Substance Abuse Rehabilitation Facility | 2400 Ne 95th St, Seattle, WA 98115-2426 | 2007-05-18 |
| 1134292501 | Lakeside Recovery Centers Inc | Substance Abuse Rehabilitation Facility | 12845 Ambaum Blvd Sw, Seattle, WA 98146 | 2006-11-15 |
| 1184158750 | The Healing Lodge of The Seven Nations | Substance Abuse Rehabilitation Facility | 5600 E 8th Ave, Spokane Valley, WA 99212-0220 | 2017-04-20 |
| 1578008462 | Evergreen Recovery Center | Substance Abuse Rehabilitation Facility | 2601 Summit Ave, Everett, WA 98201-3309 | 2016-12-30 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.