Colonial Clinic Ii, LLC
NPI #1962493007 in Spokane, Washington
Provider Information
- NPI Number
- 1962493007
- Entity Type
- Organization
- Organization Name
- Colonial Clinic Ii, LLC
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Enumeration Date
- Oct 28, 2005
- Last Updated
- Mar 15, 2012
Practice Location
- Address
- 910 N WASHINGTON ST
- Address 2
- SUITE 210
- City
- Spokane
- State
- Washington
- ZIP Code
- 99201-2202
- Phone
- (509) 327-9831
Authorized Official
- Name
- MR. DANIEL J. COLYAR, MA,CDP,NCACII,SAP
- Title
- EXECUTIVE DIRECTOR
- Phone
- (509) 327-9831
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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