Cowlitz Indian Tribe

NPI #1730754045 in Dupont, Washington

Provider Information

NPI Number
1730754045
Entity Type
Organization
Organization Name
Cowlitz Indian Tribe
Primary Specialty
Clinic/Center - Rehabilitation, Substance Use Disorder
Enumeration Date
May 20, 2021
Last Updated
May 20, 2021

Practice Location

Address
1000 DAVIS PL
City
Dupont
ZIP Code
98327-8781
Phone
(206) 721-5170

Authorized Official

Name
STEVEN KUTZ
Title
EXECUTIVE DIRECTOR HHS
Phone
(360) 575-8275

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Health ServiceHealth Service
Clinic/Center - Rehabilitation, Substance Use DisorderRehabilitation, Substance Use Disorder

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