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Latah Recovery Community Center, Inc.

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Company Details

Name: Latah Recovery Community Center, Inc.
Jurisdiction: Idaho
Legal type: Non-Profit Corporation (D)
Status: Active-Good Standing
Date of registration: 30 Oct 2018 (7 years ago)
Financial Date End: 31 Oct 2025
Entity Number: 3340107
Place of Formation: IDAHO
File Number: 642051
ZIP code: 83843
County: Latah County
Mailing Address: MIRINDA J DAVIS 531 S MAIN ST MOSCOW, ID 83843-2982

President

Name Role Address Appointed On Resigned On
Greg Mann President 1150 ALTURAS DRIVE #104, MOSCOW, ID 83843 2020-10-22 2022-09-06
Will Krasselt President 531 S MAIN, MOSCOW, ID 83843 2024-09-03 No data

Treasurer

Name Role Address Appointed On Resigned On
Greg Mann Treasurer 1150 ALTURAS DRIVE #104, MOSCOW, ID 83843 2022-09-06 No data
Alisa Anderson Treasurer 531 S MAIN, MOSCOW, ID 83843 2024-09-03 2024-09-03

Secretary

Name Role Address Appointed On Resigned On
James Pederson Secretary 531 S MAIN, MOSCOW, ID 83843 2024-09-03 2024-09-03

Director

Name Role Address Appointed On Resigned On
Anthony Dahlinger Director 531 S MAIN, MOSCOW, ID 83843 2024-09-03 2024-09-03
Tim Helmke Director 531 S MAIN, MOSCOW, ID 83843 2024-09-03 2024-09-03
Kelsi Banta Director 531 S MAIN, MSOCOW, ID 83843 2024-09-03 2024-09-03
Liz Brandt Director 531 S MAIN, MOSCOW, ID 83843 2024-09-03 2024-09-03
Genevieve Localio Director 531 S MAIN, MOSCOW, ID 83843 2024-09-03 2024-09-03
Greg Mann Director 531 S MAIN, MOSCOW, ID 83843 2024-09-03 2024-09-03
Casey McDevitt Director 531 S MAIN, MOSCOW, ID 83843 2024-09-03 2024-09-03
Tom Newhoff Director 531 S MAIN, MOSCOW, ID 83843 2024-09-03 2024-09-03

Agent

Name Role Address
Mirinda J Davis Agent 1954 CRESTVIEW DRIVE, MOSCOW, ID 83843

Links between entities

Type:
Headquarter of
Company Number:
undefined605764393
State:
WASHINGTON

Unique Entity ID

Unique Entity ID:
MG7DPZSDAJN3
CAGE Code:
8RKX2
UEI Expiration Date:
2026-03-27

Business Information

Activation Date:
2025-03-31
Initial Registration Date:
2020-10-14

Commercial and government entity program

CAGE number:
8RKX2
Status:
Active
Type:
Non-Manufacturer
CAGE Update Date:
2025-03-31
CAGE Expiration:
2030-03-31
SAM Expiration:
2026-03-27

Contact Information

POC:
DARRELL KEIM
Corporate URL:
www.latahrecoverycenter.org

National Provider Identifier

NPI Number:
1700512860
Certification Date:
2022-07-29

Authorized Person:

Name:
MR. DARRELL ERIC KEIM
Role:
EXECUTIVE DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
101YA0400X - Addiction (Substance Use Disorder) Counselor
Is Primary:
No
Selected Taxonomy:
175T00000X - Peer Specialist
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Annual Report Amendment 0006113833 2025-02-19
Annual Report 0005876834 2024-09-03
Application for Reinstatement 0005559924 2024-01-11
Dissolution/Revocation - Administrative 0005556750 2024-01-10
Annual Report 0004887451 2022-09-06

USAspending Awards / Financial Assistance

Date:
2020-06-24
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
15800.00
Total Face Value Of Loan:
15800.00
Date:
2020-06-24
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
15800.00
Total Face Value Of Loan:
15800.00

Paycheck Protection Program

Jobs Reported:
5
Initial Approval Amount:
$15,800
Date Approved:
2020-06-24
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$15,800
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$15,863.63
Servicing Lender:
Washington Trust Bank
Use of Proceeds:
Payroll: $15,800

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Date of last update: 15 Aug 2025

Sources: Idaho Secretary of State