Organization
THE N.A.T.I.V.E. PROJECT
Active
Organization
THE N.A.T.I.V.E. PROJECT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONI LODGE (EXECUTIVE DIRECTOR)
(509) 325-5502
Entity
Organization
Contact information
Practice address
1803 W MAXWELL AVE, SPOKANE, WA 99201-2831
(509) 325-5502
(509) 325-9839
Mailing address
1803 W MAXWELL AVE, SPOKANE, WA 99201-2831
(509) 325-5502
(509) 325-9839
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
32055600
WA
101YM0800X
Mental Health Counselor
184
WA
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003480
—
WA
Enumeration date
10/12/2006
Last updated
01/07/2016
Update your record
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