| NPI | 1003199712 |
|---|---|
| Doing Business As | DAYBREAK VANCOUVER OUTPATIENT |
| Entity Type | Organization |
| Authorized Contact | THOMAS RUSSELL CEO 509-444-7033 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA 06155400) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA 06155400) |
| 251B00000X Case Management (Licence: WA 06155400) | |
| Enumeration Date | 2011-09-20 |
| Last Update Date | 2022-09-22 |