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CPF BREAKTHROUGH, LLC

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Company Details

Legal Name: CPF BREAKTHROUGH, LLC
Jurisdiction: WASHINGTON
Entity Type: FOREIGN LIMITED LIABILITY COMPANY
Category: FOREIGN ENTITY
Status: Active
Formation/ Registration Date: July 6th 2020
Expiration date: 31 Jul 2025
UBI Number: 604 632 458
ZIP code: 99206
City: Spokane
County: SPOKANE
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 11711 E SPRAGUE AVE STE D3D4, SPOKANE VLY, WA, 99206-6126, UNITED STATES
Principal Office Mailing Address: Google Maps Logo 4848 S COMMERCE DR, MURRAY, UT, 84107, UNITED STATES

Contact Details

E-Mail: LISA@BTRGSPOKANE.COM
Phone Number: +1 509-927-6838

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
SETH NELSON Registered Agent 11711 E SPRAGUE AVE, SPOKANE VLY, WA, 99206-6126, UNITED STATES

Key Officers & Management

Name Role
LISA PARKER Governing Person
RICHARD GILLETTE Governing Person

National Provider Identifier

NPI Number:
1144821539
Certification Date:
2024-01-31

Authorized Person:

Name:
LISA F PARKER
Role:
EXECUTIVE DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
101YA0400X - Addiction (Substance Use Disorder) Counselor
Is Primary:
No
Selected Taxonomy:
101YM0800X - Mental Health Counselor
Is Primary:
No
Selected Taxonomy:
251B00000X - Case Management Agency
Is Primary:
No
Selected Taxonomy:
251S00000X - Community/Behavioral Health Agency
Is Primary:
No
Selected Taxonomy:
261Q00000X - Clinic/Center
Is Primary:
No
Selected Taxonomy:
261QR0405X - Substance Use Disorder Rehabilitation Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
5099276845
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