The Healing Lodge Of The Seven Nations
Substance Abuse Rehabilitation Facility in Spokane Valley, WA. Organization (NPI-2).
NPI number1194035261
StatusActive
Last updated in NPPESOct 6, 2023
Details
- NPI
- 1194035261
- Entity type
- Organization (NPI-2)
- Legal business name
- The Healing Lodge Of The Seven Nations
- Organization subpart
- Yes
- Enumeration date
- Oct 7, 2010
- Certification date
- Oct 6, 2023
- Last updated
- Oct 6, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 324500000X | Substance Abuse Rehabilitation Facility | RTF-1023 | WA | Yes |
| 3245S0500X | Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children | – | – |
Other names
- The Healing Lodge - Sage Boys Cd (Other Name)
Practice location
5600 E 8th AveSpokane Valley, WA 99212-0220
Phone 509-533-6910 · Fax 509-535-2863
Mailing address
5600 E 8th AveSpokane Valley, WA 99212-0220
Phone 509-533-6910 · Fax 509-535-2863
Authorized official
James R Walde
Financial Director
5095336910
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