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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.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Substance Abuse Treatment, Children |
3245S0500X | |||
Psychiatric Residential Treatment Facility |
323P00000X |
| NPI # | 1306851175 |
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| LBN Legal business name | DAYBREAK YOUTH SERVICES | ||||||||||||
| Authorized official | THOMAS RUSSELL - (CEO) | ||||||||||||
| Entity | Organization | ||||||||||||
| Organization subpart 1 | No | ||||||||||||
| Enumeration date | 07/30/2006 | ||||||||||||
| Last updated | 09/22/2022 - About 4 years ago | ||||||||||||
| Identifiers |
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DAYBREAK YOUTH SERVICES
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| BRITA M HANSON 301 N BROADWAY ST ABERDEEN, WA |
| STEPHEN P MONTOURE, CDPT 224 E WISHKAH ST ABERDEEN, WA |
| ALEXA MAHAN 18311 BOTHELL-EVERETT HIGHWAY 98012, BOTHELL, WA, WA |
| JAMIE K MCINTYRE, LMT 410 E NORTH BEND WAY 98045, WA |
| JAVON J WILSON, BT 18311 BOTHELL-EVERETT HIGHWAY 98012, BOTHELL, WA, WA |
DAYBREAK YOUTH SERVICES