Healthcare Provider Details
I. General information
NPI: 1003383159
Provider Name (Legal Business Name): SANDRA KAY ROBINSON
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 10/26/2018
Last Update Date: 10/26/2018
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
NEW HORIZONS CARE CENTERS, INC. 701 E 3RD STREET
SPOKANE WA
99201
US
IV. Provider business mailing address
701 E 3RD AVE
SPOKANE WA
99202-6014
US
V. Phone/Fax
- Phone: 509-838-6092
- Fax:
- Phone: 509-838-6092
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YA0400X |
| Taxonomy | Addiction (Substance Use Disorder) Counselor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: