Provider Demographics
NPI:1821190117
Name:RAINIER BIOBEHAVIORAL INSTITUTE, LLC
Entity Type:Organization
Organization Name:RAINIER BIOBEHAVIORAL INSTITUTE, LLC
Other - Org Name:RBI
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:
Authorized Official - Last Name:PARIS
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:253-299-6556
Mailing Address - Street 1:8910 MAIN ST E
Mailing Address - Street 2:SUITE C
Mailing Address - City:BONNEY LAKE
Mailing Address - State:WA
Mailing Address - Zip Code:98391-8988
Mailing Address - Country:US
Mailing Address - Phone:253-299-6556
Mailing Address - Fax:253-299-6048
Practice Address - Street 1:8910 MAIN ST E
Practice Address - Street 2:STE C
Practice Address - City:BONNEY LAKE
Practice Address - State:WA
Practice Address - Zip Code:98391-8988
Practice Address - Country:US
Practice Address - Phone:253-299-6556
Practice Address - Fax:253-299-6048
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-05
Last Update Date:2014-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP30006338261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)