Stevens County

NPI #1922517192 in Colville, Washington

Provider Information

NPI Number
1922517192
Entity Type
Organization
Organization Name
Stevens County
Subpart
Yes (part of a larger organization)
Parent Organization
STEVENS COUNTY
Primary Specialty
Community Based Residential Treatment Facility, Mental Illness
Enumeration Date
Sep 20, 2017
Last Updated
May 23, 2019

Practice Location

Address
982 E COLUMBIA AVE STE 201
ZIP Code
99114-3316
Phone
(509) 685-5000

Authorized Official

Name
DAVID NIELSEN
Title
EXECUTIVE DIRECTOR
Phone
(509) 685-0627

Specialties & Taxonomy Codes

Specialty
Psychiatric Residential Treatment Facility
Community Based Residential Treatment Facility, Mental Illness

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