Sequoia Detox Centers LLC
Substance Abuse Rehabilitation Facility in Spokane Valley, WA. Organization (NPI-2).
NPI number1487289567
StatusActive
Last updated in NPPESOct 15, 2024
Details
- NPI
- 1487289567
- Entity type
- Organization (NPI-2)
- Legal business name
- Sequoia Detox Centers LLC
- Organization subpart
- No
- Enumeration date
- Mar 9, 2020
- Certification date
- Oct 15, 2024
- Last updated
- Oct 15, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 324500000X | Substance Abuse Rehabilitation Facility | – | – | Yes |
| 261QM0850X | Clinic/Center, Adult Mental Health | – | – | |
| 261QR0405X | Clinic/Center, Rehabilitation, Substance Use Disorder | – | – |
Practice location
10305 E Montgomery DrSpokane Valley, WA 99206-4220
Phone 206-605-2209
Mailing address
10305 E Montgomery DrSpokane Valley, WA 99206-4220
Phone 509-418-2108 · Fax 509-315-9386
Other practice locations
421 N Mullan Rd
Spokane Valley, WA 99206-2405
Spokane Valley, WA 99206-2405
Phone 509-934-1087
Authorized official
Audrey Grimm
Chief Executive Officer
5098734066
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