| NPI | 1184389223 |
|---|---|
| Doing Business As | COLONIAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | REBECCA STOLZ Financial Director 509-327-9831 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2021-11-03 |
| Last Update Date | 2021-11-03 |