| Innovation Resource Center | |
|
214 S 6th St Unit #3 Sunnyside WA 98944-1446 | |
| (509) 836-2400 | |
| (509) 836-2400 |
| Full Name | Innovation Resource Center |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 214 S 6th St, Sunnyside, Washington |
| Authorized Official Name and Position | Marie Elena Guerrer (CLINICAL DIRECTOR) |
| Authorized Official Contact | 5098362400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Innovation Resource Center Po Box 953 Sunnyside WA 98944-0953 Ph: (509) 836-2400 | Innovation Resource Center 214 S 6th St Unit #3 Sunnyside WA 98944-1446 Ph: (509) 836-2400 |
| NPI Number | 1336405141 |
|---|---|
| Provider Enumeration Date | 04/05/2012 |
| Last Update Date | 04/05/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336405141 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | CP00006228 (Washington) | Primary |
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