NPI 1922517192

Stevens County

Organisation Mental Illness Community Based Residential Treatment Facility Colville, WA

Practice location

Address: 982 E Columbia Ave STE 201, Colville, WA 99114-3316
Phone: (509) 685-5000
Mailing address: 165 E Hawthorne Ave, Colville, WA 99114-2629

Authorised official

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

Registered specialties (2)

Mental Illness Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320800000X

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

Psychiatric Residential Treatment Facility

Residential Treatment Facilities Taxonomy 323P00000X Licence RTF.FS.60756070 (WA)

Other Psychiatric Residential Treatment Facility providers in Washington →

Registry record

NPI: 1922517192
Entity type: Organization
NPI issued: 20 Sep 2017
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.