Organization
PALOUSE RIVER COUNSELING CENTER
Active
Other names
Palouse River Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE BERNEY (EXECUTIVE DIRECTOR)
(509) 334-1133
Entity
Organization
Contact information
Practice address
340 NE MAPLE ST, PULLMAN, WA 99163-4120
(509) 334-1133
(509) 332-1608
Mailing address
340 NE MAPLE ST, PULLMAN, WA 99163-4120
(509) 334-1133
(509) 332-1608
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
38 0138 00
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1994276
—
WA
Enumeration date
11/06/2006
Last updated
08/22/2020
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