Abstemious Outpatient Clinic, INC
NPI #1740328145 in Spokane Valley, Washington
Provider Information
- NPI Number
- 1740328145
- Entity Type
- Organization
- Organization Name
- Abstemious Outpatient Clinic, INC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- ABSTEMIOUS OUTPATIENT CLINIC, INC
- Primary Specialty
- Clinic/Center - Rehabilitation, Substance Use Disorder
- Enumeration Date
- Feb 1, 2007
- Last Updated
- Oct 23, 2012
Practice Location
- Address
- 10525 E MAIN AVE
- City
- Spokane Valley
- State
- Washington
- ZIP Code
- 99206-3728
- Phone
- (509) 927-7814
Authorized Official
- Name
- RONALD J PHELPS, B.A., C.D.P.
- Title
- EXECUTIVE DIRECTOR ABSTEMIOUS OUTPA
- Phone
- (509) 927-7814
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Rehabilitation, Substance Use Disorder — Rehabilitation, Substance Use Disorder |
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