Organization
NORTHWEST INDIAN TREATMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JUNE O'BRIEN (DIRECTOR)
(360) 470-1474
Entity
Organization
Contact information
Practice address
308 E. YOUNG STREET, BOX 477, ELMA, WA 98541
(360) 482-2674
Mailing address
308 EAST YOUNG STREET, BOX 477, ELMA, WA 98541-0000
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
RTF1034
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1981026
—
WA
05
—
1990696
—
WA
Enumeration date
10/20/2006
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us