Provider Demographics
NPI:1093352338
Name:SPOKANE FALLS RECOVERY CENTER
Entity Type:Organization
Organization Name:SPOKANE FALLS RECOVERY CENTER
Other - Org Name:SPOKANE FALLS RECOVERY CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF ADMIN. OPERATIONS
Authorized Official - Prefix:MRS
Authorized Official - First Name:CORRIE
Authorized Official - Middle Name:M
Authorized Official - Last Name:STURM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:928-273-3254
Mailing Address - Street 1:101 E MAGNESIUM RD
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99208-5901
Mailing Address - Country:US
Mailing Address - Phone:509-368-9021
Mailing Address - Fax:
Practice Address - Street 1:101 E MAGNESIUM RD
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99208-5901
Practice Address - Country:US
Practice Address - Phone:509-368-9021
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-05
Last Update Date:2022-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder