Provider Demographics
NPI:1932302411
Name:SPOKANE COUNTY
Entity Type:Organization
Organization Name:SPOKANE COUNTY
Other - Org Name:SPOKANE COUNTY COUNSELING AND RECOVERY SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:INTEGRATED BEHAVIORAL HEALTHCARE MA
Authorized Official - Prefix:
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:
Authorized Official - Last Name:HYMAS
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:509-477-4602
Mailing Address - Street 1:312 W. 8TH AVE
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99204-2506
Mailing Address - Country:US
Mailing Address - Phone:509-477-4388
Mailing Address - Fax:509-477-3615
Practice Address - Street 1:312 W. 8TH AVE
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99204-2506
Practice Address - Country:US
Practice Address - Phone:509-477-4388
Practice Address - Fax:509-477-3615
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-11
Last Update Date:2020-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251B00000XAgenciesCase Management