National Provider Identifier Database

DAYBREAK YOUTH SERVICES
Substance Abuse Treatment, Children

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.


Contact Information

DAYBREAK YOUTH SERVICES
11910 NE 154TH ST
BRUSH PRAIRIE, WA98606
Phone: 360-750-9588
Fax: 509-459-3920
Website:
Specialty Taxonomy Code
* Substance Abuse Treatment, Children 3245S0500X
Psychiatric Residential Treatment Facility 323P00000X

* Indicates primary specialty

NPI Profile & details for DAYBREAK YOUTH SERVICES

NPI Number 1306851175
Legal business name
LBN
DAYBREAK YOUTH SERVICES
Authorized official THOMAS RUSSELL - (CEO)
Entity Organization
Organization subpart No
Enumeration date 07/30/2006
Last updated 09/22/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers
  • WA License #: 200451
  • WA Medicaid: 1007226
  • WA Other: 200451 WA STATE DBHR

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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