Organization · Type 2 NPI
Cowlitz Indian Tribe
Substance Use Disorder Rehabilitation Clinic/Center · Dupont, WA
NPI number
1730754045
Active
Practice location
1000 Davis Pl
Dupont, WA 98327-8781
Fax (206) 721-6288
Mailing address
PO Box 2429
Longview, WA 98632-8486
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Health Service Clinic/Center | 261QH0100X | None listed |
| Substance Use Disorder Rehabilitation Clinic/Center Primary | 261QR0405X | None listed |
Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...
3 other providers at this address
About NPI 1730754045
Cowlitz Indian Tribe's National Provider Identifier is 1730754045, issued on May 20, 2021. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Dupont, WA. The record was last updated on May 20, 2021.