National Provider Identifier Database

EXCELSIOR INTEGRATED CARE CENTER LLC
Community/Behavioral Health

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.


Contact Information

EXCELSIOR INTEGRATED CARE CENTER LLC
3910 W. INDIAN TRAIL RD
SPOKANE, WA99208-4739
Phone: 509-559-3100
Fax: 509-328-7582
Website:
Specialty Taxonomy Code
* Community/Behavioral Health 251S00000X
Psychiatric Residential Treatment Facility 323P00000X
Rehabilitation, Substance Use Disorder 261QR0405X

* Indicates primary specialty

NPI Profile & details for EXCELSIOR INTEGRATED CARE CENTER LLC

NPI Number 1326672692
Legal business name
LBN
EXCELSIOR INTEGRATED CARE CENTER LLC
Authorized official DOVIE BRITTON - (CONTRACTING AND CREDENTIALING COORD)
Entity Organization
Organization subpart No
Enumeration date 02/26/2020
Last updated 10/27/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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