| NPI | 1316782014 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHAN CRAIG DIKES CEO 509-321-9058 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 175T00000X Peer Specialist | |
| Enumeration Date | 2024-06-26 |
| Last Update Date | 2024-06-26 |