| Organization Name: | DAYBREAK YOUTH SERVICES |
| NPI Number: | 1003199712 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ANNETTE KLINEFELTER (EXECUTIVE DIRECTOR) |
| Mailing Address: | 11818 Se Mill Plain Blvd Suite 307 Vancouver |
| State: | WA US |
| Postal Code: | 986845089 |
| Phone Number: | 3607509635 |
| Fax Number: | 3603349541 |
| NPI Enumeration Date: | 09/20/2011 |
| NPI Last Update Date: | 04/12/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 06155400 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |