NPI 1447590757

Colonial Clinic III, LLC

Organisation Early Intervention Provider Agency Spokane, WA

Practice location

Address: 910 N Washington St STE 210, Spokane, WA 99201-2260
Phone: (509) 327-9831
Fax: (509) 327-9857

Authorised official

Name: Thomas H. Stolz Huston Stolz
Title: Clinic Director/Counselor
Phone: (509) 327-9831

Registered specialties (2)

Early Intervention Provider Agency Primary

Agencies Taxonomy 252Y00000X Licence 32025500 (WA)

Other Early Intervention Provider Agency providers in Washington →

Community/Behavioral Health Agency

Agencies Taxonomy 251S00000X Licence 32025500 (WA)

Other Community/Behavioral Health providers in Washington →

Registry record

NPI: 1447590757
Entity type: Organization
NPI issued: 22 Feb 2013
Record last updated: 22 Feb 2013

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.