| Organization Name: | DIRNE HEALTH CENTERS, INC |
| NPI Number: | 1689039448 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHAEL BAKER (CEO) |
| Mailing Address: | 14775 N Kimo Ct Suite B Rathdrum |
| State: | ID US |
| Postal Code: | 838588762 |
| Phone Number: | 2086875627 |
| Fax Number: | |
| NPI Enumeration Date: | 12/22/2015 |
| NPI Last Update Date: | 12/22/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |