Provider Demographics
NPI:1316782014
Name:SUNSHINE WELLNESS AND RECOVERY
Entity type:Organization
Organization Name:SUNSHINE WELLNESS AND RECOVERY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:NATHAN
Authorized Official - Middle Name:CRAIG
Authorized Official - Last Name:DIKES
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:509-926-3547
Mailing Address - Street 1:10410 E 9TH AVE BLDG A
Mailing Address - Street 2:
Mailing Address - City:SPOKANE VALLEY
Mailing Address - State:WA
Mailing Address - Zip Code:99206-3510
Mailing Address - Country:US
Mailing Address - Phone:509-892-4342
Mailing Address - Fax:509-928-2804
Practice Address - Street 1:1104 S RAYMOND RD
Practice Address - Street 2:
Practice Address - City:SPOKANE VALLEY
Practice Address - State:WA
Practice Address - Zip Code:99206-3534
Practice Address - Country:US
Practice Address - Phone:509-892-4342
Practice Address - Fax:509-928-2804
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SUNSHINE HEALTH FACILITIES, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-06-26
Last Update Date:2025-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No175T00000XOther Service ProvidersPeer SpecialistGroup - Multi-Specialty