14114 Spokane Detox LLC
NPI #1013608801 in Spokane Valley, Washington
Provider Information
- NPI Number
- 1013608801
- Entity Type
- Organization
- Organization Name
- 14114 Spokane Detox LLC
- Primary Specialty
- Psychiatric Residential Treatment Facility
- Enumeration Date
- May 15, 2023
- Last Updated
- Jun 18, 2025
Practice Location
- Address
- 14114 E 3RD AVE
- City
- Spokane Valley
- State
- Washington
- ZIP Code
- 99216-2102
- Phone
- (561) 222-1719
Authorized Official
- Name
- ALEXANDRA KOROTKEVICH
- Title
- EXECUTIVE
- Phone
- (561) 222-1719
Specialties & Taxonomy Codes
| Specialty |
|---|
| Substance Abuse Rehabilitation Facility |
| Psychiatric Residential Treatment Facility |
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