NPI | 1962493007 |
---|---|
Doing Business As | COLONIAL CLINIC |
Entity Type | Organization |
Authorized Contact | DANIEL J. COLYAR Executive Director 509-327-9831 |
Organization Subpart ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Enumeration Date | 2005-10-28 |
Last Update Date | 2012-03-15 |