Provider Demographics
NPI:1487093365
Name:DIRKERS & ASSOCIATES BEHAVIORAL HEALTH INC
Entity type:Organization
Organization Name:DIRKERS & ASSOCIATES BEHAVIORAL HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ISABEL
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:509-822-7395
Mailing Address - Street 1:715 E SPRAGUE AVE
Mailing Address - Street 2:SUITE 115
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99202-2112
Mailing Address - Country:US
Mailing Address - Phone:509-822-7395
Mailing Address - Fax:509-822-7392
Practice Address - Street 1:715 E SPRAGUE AVE
Practice Address - Street 2:SUITE 115
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99202-2112
Practice Address - Country:US
Practice Address - Phone:509-822-7395
Practice Address - Fax:509-822-7392
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-24
Last Update Date:2013-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA32161800OtherDIVISION OF BEHAVIORAL HEALTH AND RECOVERY WASHINGTON STATE