Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
COLONIAL CLINIC II, LLC
Active
Organization
COLONIAL CLINIC II, LLC
Active
Other names
Colonial Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL J. COLYAR MA,CDP,NCACII,SAP (EXECUTIVE DIRECTOR)
(509) 327-9831
Entity
Organization
Contact information
Practice address
910 N WASHINGTON ST, SUITE 210, SPOKANE, WA 99201-2202
(509) 327-9831
(509) 327-9857
Mailing address
910 N WASHINGTON ST, SUITE 210, SPOKANE, WA 99201-2202
(509) 327-9831
(509) 327-9857
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
32025500
CHEMICAL DEPENDENCY TREAT
WA
01
—
J0HY6W00
ONE HLTH. PORT ID.
WA
Enumeration date
10/28/2005
Last updated
03/15/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up