14114 Spokane Detox LLC
Psychiatric Residential Treatment Facility in Spokane Valley, WA. Organization (NPI-2).
NPI number1013608801
StatusActive
Last updated in NPPESJun 18, 2025
Details
- NPI
- 1013608801
- Entity type
- Organization (NPI-2)
- Legal business name
- 14114 Spokane Detox LLC
- Organization subpart
- No
- Enumeration date
- May 15, 2023
- Certification date
- Jun 18, 2025
- Last updated
- Jun 18, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 323P00000X | Psychiatric Residential Treatment Facility | – | – | Yes |
| 324500000X | Substance Abuse Rehabilitation Facility | – | – |
Other names
- We Level Up Washington (Doing Business As)
Practice location
14114 E 3rd AveSpokane Valley, WA 99216-2102
Phone 561-222-1719
Mailing address
1701 Green Rd Ste CDeerfield Beach, FL 33064-1074
Authorized official
Alexandra Korotkevich
Executive
5612221719
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