Excelsior Wellness
Children's Substance Abuse Rehabilitation Facility in Spokane, Washington
NPI 1326267055
Excelsior Wellness is a Children's Substance Abuse Rehabilitation Facility based in Spokane, WA and is specialized in Substance Abuse Treatment, Children. Excelsior Wellness practices in Spokane, WA. The NPI Number for Excelsior Wellness is 1326267055 and holds a License No. 32 0893 00 / 181 (Washington).
The current practice location address for Excelsior Wellness is 3754 W Indian Trail Rd, Spokane, WA and can be reached out via phone at 509-328-7041 and via fax at 509-328-7582.
Location: 3754 W Indian Trail Rd, Spokane, WA, 99208-4736
Provider Profile Details
NPI Number
1326267055
Provider Name
Excelsior Wellness
Credential
Provider Entity Type
Organization
Address
3754 W Indian Trail Rd, Spokane, WA, 99208-4736
Phone Number
509-328-7041
Fax Number
509-328-7582
Provider Enumeration Date
04/24/2007
Last Update Date
03/12/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1993435 | 05 | WA | |
| 1007885 | 05 | WA | |
| 2015145 | 05 | WA | |
| 450639 | 05 | WA |
Provider Business Practice Location Address Details
Address
3754 W Indian Trail Rd
City
State
Zip
99208-4736
Phone Number
509-328-7041
Fax Number
509-328-7582
Provider Business Mailing Address Details
Address
3754 W Indian Trail Rd
City
State
Zip
99208-4736
Phone Number
509-328-7041
Fax Number
509-328-7582
Provider's Taxonomy Details 1
Type
Agencies
Classification
Case Management
Speciality
-
Taxonomy
License No.
32 0893 00 / 181 (Washington)
Definition
An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level.
Provider's Taxonomy Details 2
Type
Agencies
Classification
Day Training, Developmentally Disabled Services
Speciality
-
Taxonomy
License No.
32 0893 00 / 181 (Washington)
Definition
These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
License No.
32 0893 00 / 181 (Washington)
Definition
Definition to come...
Provider's Taxonomy Details 4
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
License No.
32 0893 00 / 181 (Washington)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
Provider's Taxonomy Details 5
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Substance Use Disorder
Taxonomy
License No.
32 0893 00 / 181 (Washington)
Definition
Definition to come...
Provider's Taxonomy Details 6
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
License No.
32 0893 00 / 181 (Washington)
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
Provider's Taxonomy Details 7
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
License No.
32 0893 00 / 181 (Washington)
Definition
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
Provider's Taxonomy Details 8
Type
Residential Treatment Facilities
Classification
Psychiatric Residential Treatment Facility
Speciality
-
Taxonomy
License No.
32 0893 00 / 181 (Washington)
Definition
A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient's surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary
Provider's Taxonomy Details 9
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
Substance Abuse Treatment, Children
Taxonomy
License No.
32 0893 00 / 181 (Washington)
Definition
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.
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