Organization
SPOKANE TRIBE OF INDIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD L. SHERWOOD (CHAIRMAN)
(509) 258-7502
Entity
Organization
Contact information
Practice address
6228 E. SCHOOL ROAD, WELLPINIT, WA 99040
(509) 258-7502
(509) 258-7502
Mailing address
6228 E. SCHOOL ROAD, WELLPINIT, WA 99040-0100
(509) 258-7502
(509) 258-7029
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1980770
WA
251S00000X
Community/Behavioral Health Agency
1992841
WA
Other
Enumeration date
08/15/2007
Last updated
08/15/2007
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