Provider Demographics
NPI:1053839332
Name:AMERICAN INDIAN COMMUNITY CENTER
Entity Type:Organization
Organization Name:AMERICAN INDIAN COMMUNITY CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM COORDINATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:LAUCH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:509-535-0886
Mailing Address - Street 1:610 E NORTH FOOTHILLS DR
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99207-2160
Mailing Address - Country:US
Mailing Address - Phone:509-534-0886
Mailing Address - Fax:
Practice Address - Street 1:610 E NORTH FOOTHILLS DR
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99207-2160
Practice Address - Country:US
Practice Address - Phone:509-534-0886
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-06
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty