Provider Demographics
NPI:1093351520
Name:RAWLINGS COMMUNITY COUNSELING
Entity Type:Organization
Organization Name:RAWLINGS COMMUNITY COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:
Authorized Official - Last Name:HITTLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:208-267-0900
Mailing Address - Street 1:6807 CODY ST
Mailing Address - Street 2:
Mailing Address - City:BONNERS FERRY
Mailing Address - State:ID
Mailing Address - Zip Code:83805-8613
Mailing Address - Country:US
Mailing Address - Phone:208-267-0900
Mailing Address - Fax:208-267-6100
Practice Address - Street 1:6807 CODY ST
Practice Address - Street 2:
Practice Address - City:BONNERS FERRY
Practice Address - State:ID
Practice Address - Zip Code:83805-8613
Practice Address - Country:US
Practice Address - Phone:208-267-0900
Practice Address - Fax:208-267-6100
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-19
Last Update Date:2019-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175T00000XOther Service ProvidersPeer SpecialistGroup - Multi-Specialty