PHIL WAGGONER is an addiction (substance use disorder) counselor in Lewiston, ID. PHIL WAGGONER NPI is 1871651422. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Riverside Recovery.
The provider's business location address is:
1720 18TH AVE
LEWISTON, ID
ZIP 83501-047
Phone: (208) 746-4097
Fax: (208) 746-2294
The provider's authorized official is Dana K Boyd .
The authorized official title is Business Ofc Manager Owner and has the following contact phone number (208) 746-4097.
The enumeration date for this NPI number is 12/5/2006 and was last updated on 8/22/2020.