NPI 1013608801
14114 Spokane Detox LLC
Practice location
- Address
- 14114 E 3rd Ave, Spokane Valley, WA 99216-2102
- Phone
- (561) 222-1719
- Mailing address
- 1701 Green Rd STE C, Deerfield Beach, FL 33064-1074
Authorised official
- Name
- Alexandra Korotkevich
- Title
- Executive
- Phone
- (561) 222-1719
Registered specialties (2)
Psychiatric Residential Treatment Facility
Primary
Substance Abuse Rehabilitation Facility
Registry record
- NPI
- 1013608801
- Entity type
- Organization
- NPI issued
- 15 May 2023
- Record last updated
- 18 Jun 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.