Healthcare Provider Details

I. General information

NPI: 1790341659
Provider Name (Legal Business Name): COMPASSIONATE ADDICTION TREATMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/16/2019
Last Update Date: 09/15/2025
Certification Date: 09/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

960 E 3RD AVE
SPOKANE WA
99202-2241
US

IV. Provider business mailing address

960 E 3RD AVE
SPOKANE WA
99202-2241
US

V. Phone/Fax

Practice location:
  • Phone: 509-919-3362
  • Fax: 509-530-2304
Mailing address:
  • Phone: 509-919-3362
  • Fax: 509-931-0480

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: HALLIE BURCHINAL
Title or Position: EXECUTIVE DIRECTOR
Credential: SUDP
Phone: 509-919-3362