Healthcare Provider Details

I. General information

NPI: 1013820075
Provider Name (Legal Business Name): RIVERWALK TREATMENT CENTER PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/23/2026
Last Update Date: 09/23/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7325 W DESCHUTES AVE STE C
KENNEWICK WA
99336-6705
US

IV. Provider business mailing address

7325 W DESCHUTES AVE STE C
KENNEWICK WA
99336-6705
US

V. Phone/Fax

Practice location:
  • Phone: 509-907-4693
  • Fax: 509-278-9014
Mailing address:
  • Phone: 509-907-4693
  • Fax: 509-278-9014

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: ALEXIS GRIMM
Title or Position: CEO
Credential: APRN
Phone: 509-907-4693