NPI 1245174788

Stevens County

Organisation Mental Illness Community Based Residential Treatment Facility Colville, WA

Practice location

Address: 185 E Hawthorne Ave, Colville, WA 99114-2629
Phone: (509) 685-0641
Fax: (509) 685-0678

Authorised official

Name: David M Nielsen
Title: Executive Director
Phone: (509) 685-0627

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320800000X

Other Community Based Residential Treatment Facility, Mental Illness providers in Washington →

Registry record

NPI: 1245174788
Entity type: Organization
NPI issued: 15 Apr 2026
Record last updated: 15 Apr 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.