COMMUNITY DETOX SERVICES OF SPOKANE (NPI# 1104957323) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104957323 |
| Entity Type | Organization |
| Organization Name | COMMUNITY DETOX SERVICES OF SPOKANE |
| Practice Address |
312 W 8th Ave Spokane WA 99204-2506 |
| Mailing Address |
Po Box 2845 Spokane WA 99220-2845 |
| Practice Telephone | 5094774633 |
| Practice Fax Number | 5064774630 |
| Mailing Telephone | 5094774633 |
| Mailing Fax Number | 5064774630 |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | SHAWN SCISSONS (BUSINESS MANAGER) |
| Authorized Official Telephone | 5094774633 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| Street Address |
312 W 8TH AVE |
| City | SPOKANE |
| State | WA |
| Zip Code | 99204-2506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053944595 | Sheila Marie Wood | Counselor | 312 W 8th Ave, Spokane, WA 99204-2506 | 2020-02-12 |
| 1124668298 | Stanley William Hough | Counselor | 312 W 8th Ave, Spokane, WA 99204-2506 | 2020-01-07 |
| 1619517786 | Ira Robert Davis Jr. | Counselor | 312 W 8th Ave, Spokane, WA 99204-2506 | 2020-01-07 |
| 1720638299 | Karen Elaine Henderson | Peer Specialist | 312 W 8th Ave, Spokane, WA 99204-2506 | 2019-09-17 |
| 1851858187 | Bobbi Manley | Counselor | 312 W 8th Ave, Spokane, WA 99204-2506 | 2019-02-22 |
| 1144784737 | Dominic Marcilla | Counselor | 312 W 8th Ave, Spokane, WA 99204-2506 | 2019-01-28 |
| 1083183495 | Melissa Denise Weipert | Social Worker | 312 W 8th Ave, Spokane, WA 99204 | 2018-11-14 |
| 1881162733 | Anthony Lee Williams | Counselor | 312 W 8th Ave, Spokane, WA 99204-2506 | 2018-11-08 |
| 1891262457 | Robert Knapp | Counselor | 312 W 8th Ave, Spokane, WA 99204-2506 | 2018-10-31 |
| 1982171542 | Chrystal Campbell | Counselor | 312 W 8th Ave, Spokane, WA 99204 | 2018-10-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982250957 | Megan Elizabeth Dibenedetto | Pharmacist | 105 West 8th Avenue, 350e, Spokane, WA 99204 | 2019-08-14 |
| 1619521168 | Evelyn R Cabon | Genetic Counselor, MS | 101 W. 8th Avenue Suite 1100, Spokane, WA 99204 | 2019-08-01 |
| 1346700655 | Christina Rose | Student in an Organized Health Care Education/Training Program | 120 W. 8th Avenue, Spokane, WA 99204 | 2019-03-22 |
| 1508339862 | Cody J French | Physical Therapist | Washington Outpatient Rehab, 507 S Washington, Spokane, WA 99204 | 2019-01-09 |
| 1730655598 | Washington Outpatient Rehabilitation, LLC | Physical Therapist | 507 S. Washington St., Suite 10, Spokane, WA 99204 | 2018-10-19 |
| 1013405547 | Joel James Hayden | Student in an Organized Health Care Education/Training Program | Providence Sacred Heart, 101 West 8th Avenue, Spokane, WA 99204 | 2018-04-30 |
| 1144694787 | Brooksjohnsonpllc | Dentist | 1004 S. Monroe Street, Ste 100, Spokane, WA 99204 | 2015-11-19 |
| 1497184196 | Kathalene M Cassels | Physician Assistant | 810 W. 5th Ave. Ste 510, Spokane, WA 99204 | 2013-11-04 |
| 1174880454 | Kelly E Wurzel | Psychiatry & Neurology | 624 E. Front Ave, Spokane, WA 99204 | 2012-04-11 |
| 1003190331 | Katie L Gomez | Nurse Practitioner | 805 W. 5th Ave, Suite 518, Spokane, WA 99204 | 2011-10-05 |
| Find all providers in zip 99204 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356831911 | American Behavioral Health Systems, Inc. | Substance Abuse Rehabilitation Facility | 44 E Cozza Dr Ste B, Spokane, WA 99208-6514 | 2018-05-18 |
| 1063709756 | Pioneer Human Services | Substance Abuse Rehabilitation Facility | 3400 W Garland Ave, Spokane, WA 99205-2119 | 2011-07-01 |
| 1538388665 | New Horizon Care Center, Inc. | Substance Abuse Rehabilitation Facility | 2317 W 3rd Ave, Spokane, WA 99204-1009 | 2007-04-25 |
| 1073648374 | American Behavioral Health Systems, Inc. | Substance Abuse Rehabilitation Facility | 44 E Cozza Dr, Spokane, WA 99208-6514 | 2007-02-23 |
| 1902251267 | Royal Life Centers, LLC | Substance Abuse Rehabilitation Facility | 524 E Francis Ave, Spokane, WA 99208-1038 | 2016-04-25 |
| 1831597319 | Spokane Detox Center LLC | Substance Abuse Rehabilitation Facility | 524 E Francis Ave, Spokane, WA 99208-1038 | 2014-12-15 |
| 1215286851 | Abhs Speciality Services 1 LLC | Substance Abuse Rehabilitation Facility | 44 E Cozza Dr, Spokane, WA 99208-6514 | 2012-08-29 |
| 1013030147 | Spokane Addiction Recovery Centers | Substance Abuse Rehabilitation Facility | 812 S Walnut St, Spokane, WA 99204-3326 | 2007-04-06 |
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|---|---|---|---|---|
| 1730787763 | For The Culture Counseling Services | Substance Abuse Rehabilitation Facility | 4301 S Pine St Ste 92, Tacoma, WA 98409-7259 | 2020-10-12 |
| 1760090518 | Hotel California By The Sea Bellevue, LLC. | Substance Abuse Rehabilitation Facility | 7810 130th Ave Ne, Kirkland, WA 98033-8251 | 2020-07-17 |
| 1629532569 | Sandra Ann Moore | Substance Abuse Rehabilitation Facility | 2632 E 17th St, Bremerton, WA 98310-5058 | 2019-01-24 |
| 1972085835 | Peninsula Counseling, LLC | Substance Abuse Rehabilitation Facility | 3214 50th Street Ct Nw Ste D-305, Gig Harbor, WA 98335-8589 | 2018-09-06 |
| 1609365238 | American Behavioral Health Systems, Inc. | Substance Abuse Rehabilitation Facility | 500 Se Adams Ave, Chehalis, WA 98532 | 2018-05-09 |
| 1023515400 | Evergreen Recovery Centers | Substance Abuse Rehabilitation Facility | 1905 Continental Place, Mount Vernon, WA 98273 | 2018-04-11 |
| 1588184980 | Evergreen Recovery Centers-lynnwood Detox | Substance Abuse Rehabilitation Facility | 20508 56th Ave W, Lynnwood, WA 98036 | 2017-06-27 |
| 1346785524 | Big Change Medical | Substance Abuse Rehabilitation Facility | 26857 16th Ave S, Des Moines, WA 98198-9327 | 2016-12-27 |
| 1881062362 | Sea-mar Community Health Center | Substance Abuse Rehabilitation Facility | 113 23rd Ave S, Seattle, WA 98144-2309 | 2015-09-14 |
| 1073995080 | The Haven Detox Center LLC | Substance Abuse Rehabilitation Facility | 8649 Martin Way E, Lacey, WA 98516-5812 | 2015-06-25 |
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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.