Organization
CONFEDERATED TRIBES OF THE COLVILLE RESERVATION
Active
Parent organization
CONFEDERATED TRIBES OF THE COLVILLE RESERVATION
Other names
MENTAL HEALTH SERVICES
Organization subpart
Yes
Provider details
NPI number
Legal business name
CONFEDERATED TRIBES OF THE COLVILLE RESERVATION
Authorized official
AMY CHURCH (REVENUE CYCLE MANAGER)
(509) 634-2783
Entity
Organization
Contact information
Practice address
21 COLVILLE STREET, NESPELEM, WA 99155-0150
(509) 634-2783
(509) 634-2781
Mailing address
PO BOX 150, NESPELEM, WA 99155-0150
(509) 634-2783
(509) 634-2781
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
1980812
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1980812
—
WA
Enumeration date
04/23/2007
Last updated
03/25/2026
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