Organization
CONFEDERATED TRIBES OF THE COLVILLE RESERVATION
Active
Parent organization
CONFEDERATED TRIBES OF THE COLVILLE RESERVATION
Other names
San Poil Treatment Center
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
11614 HIGHWAY 21 SOUTH, KELLER, WA 99140
(509) 634-2050
Mailing address
21 COLVILLE STREET, NESPELEM, WA 99155-0150
(509) 634-2783
(509) 634-2781
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
05/19/2021
Last updated
04/02/2026
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