Organization
COLONIAL CLINIC II, LLC
Active
Other names
Colonial Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL J. COLYAR MA,CDP,NCACII,SAP (EXECUTIVE DIRECTOR)
(509) 327-9831
Entity
Organization
Contact information
Practice address
910 N WASHINGTON ST, SUITE 210, SPOKANE, WA 99201-2202
(509) 327-9831
(509) 327-9857
Mailing address
910 N WASHINGTON ST, SUITE 210, SPOKANE, WA 99201-2202
(509) 327-9831
(509) 327-9857
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
32025500
CHEMICAL DEPENDENCY TREAT
WA
01
—
J0HY6W00
ONE HLTH. PORT ID.
WA
Enumeration date
10/28/2005
Last updated
03/15/2012
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