Organization
COLVILLE CONFEDERATED TRIBES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTHA HOLLIDAY (HEALTH AND HUMAN SERVICE DIRECTOR)
(509) 634-2433
Entity
Organization
Contact information
Practice address
1 COLVILLE STREET, NESPELEM, WA 99155-0150
(509) 634-2433
(509) 634-2781
Mailing address
1 COLVILLE STREET, NESPELEM, WA 99155-0150
(509) 634-2433
(509) 634-2781
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8027476
—
WA
Enumeration date
09/05/2006
Last updated
07/17/2007
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