| NPI | 1326267055 |
|---|---|
| Doing Business As | EXCELSIOR |
| Entity Type | Organization |
| Authorized Contact | ANDREW R HILL CEO/President 509-328-7041 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: WA 32 0893 00 / 181) |
| Additional Taxonomies | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: WA 32 0893 00 / 181) |
| 323P00000X Psychiatric Residential Treatment Facility (Licence: WA 32 0893 00 / 181) | |
| 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children (Licence: WA 32 0893 00 / 181) | |
| 251B00000X Case Management (Licence: WA 32 0893 00 / 181) | |
| 251C00000X Day Training, Developmentally Disabled Services (Licence: WA 32 0893 00 / 181) | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: WA 32 0893 00 / 181) | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: WA 32 0893 00 / 181) | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: WA 32 0893 00 / 181) | |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2021-09-28 |