Provider Demographics
NPI:1225181431
Name:SOCIAL TREATMENT OPPORTUNITY PROGRAMS II, INC.
Entity Type:Organization
Organization Name:SOCIAL TREATMENT OPPORTUNITY PROGRAMS II, INC.
Other - Org Name:STOP-SPOKANE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:COO/CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:
Authorized Official - Last Name:TATUM
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:509-927-3668
Mailing Address - Street 1:104 S. FREYA STREET, BLUE FLAG BLDG.
Mailing Address - Street 2:SUITE 206
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99202-4862
Mailing Address - Country:US
Mailing Address - Phone:509-927-3668
Mailing Address - Fax:509-892-6661
Practice Address - Street 1:104 S. FREYA STREET, BLUE FLAG BLDG.
Practice Address - Street 2:SUITE 206
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99202-4862
Practice Address - Country:US
Practice Address - Phone:509-927-3668
Practice Address - Fax:509-892-6661
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-19
Last Update Date:2020-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA321203000251B00000X
261QR0405X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
No251B00000XAgenciesCase Management