Provider Demographics
NPI:1790707776
Name:QUALITY BEHAVIORAL HEALTH
Entity Type:Organization
Organization Name:QUALITY BEHAVIORAL HEALTH
Other - Org Name:ROGERS COUNSELING CENTER
Other - Org Type:Other Name
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DANIKA
Authorized Official - Middle Name:M
Authorized Official - Last Name:GWINN
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LMHC, DMHP
Authorized Official - Phone:509-758-3341
Mailing Address - Street 1:900 7TH STREET
Mailing Address - Street 2:
Mailing Address - City:CLARKSTON
Mailing Address - State:WA
Mailing Address - Zip Code:99403
Mailing Address - Country:US
Mailing Address - Phone:509-758-3341
Mailing Address - Fax:509-769-6057
Practice Address - Street 1:900 7TH STREET
Practice Address - Street 2:
Practice Address - City:CLARKSTON
Practice Address - State:WA
Practice Address - Zip Code:99403
Practice Address - Country:US
Practice Address - Phone:509-758-3341
Practice Address - Fax:509-769-6057
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-25
Last Update Date:2016-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA600425853251B00000X, 261QR0405X
WA011251S00000X
261QR0405X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
No251B00000XAgenciesCase Management
No251S00000XAgenciesCommunity/Behavioral Health