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Organization

CONFEDERATED TRIBES OF THE COLVILLE RESERVATION

Active
Other names
Alcohol Program
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. AMY CHURCH CRCR (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
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
324500000X
Substance Abuse Rehabilitation Facility

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1992957
WA
Enumeration date
04/23/2007
Last updated
03/25/2026
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