| 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 |