Healthcare Provider Details

I. General information

NPI: 1740102904
Provider Name (Legal Business Name): RIVER CITY BEHAVIORAL HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2026
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7521 E NORA AVE
SPOKANE VALLEY WA
99212-2516
US

IV. Provider business mailing address

2120 S SUNRISE RD
SPOKANE VALLEY WA
99206-3328
US

V. Phone/Fax

Practice location:
  • Phone: 509-475-1807
  • Fax:
Mailing address:
  • Phone: 509-638-8785
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name: BRADLEE THORN COLLINS
Title or Position: CBT
Credential:
Phone: 509-638-8785