Provider Demographics
NPI:1174897920
Name:MORNING STAR COMMUNITY SERVICES
Entity type:Organization
Organization Name:MORNING STAR COMMUNITY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COMMUNITY SERVICES DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:FAY
Authorized Official - Middle Name:
Authorized Official - Last Name:CADWALLADER
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:509-448-1202
Mailing Address - Street 1:4511 S GLENROSE RD
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99223-1348
Mailing Address - Country:US
Mailing Address - Phone:509-448-1202
Mailing Address - Fax:
Practice Address - Street 1:4511 S GLENROSE RD
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99223-1348
Practice Address - Country:US
Practice Address - Phone:509-448-1202
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-25
Last Update Date:2012-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health