NPI:
1528285038
Provider Name:
COWLITZ INDIAN TRIBE
Other Name: COWLITZ TRIBAL TREATMENT
Classification:
Clinic/Center - 261QR0405X
Entity Type:
Organization
Specialization: Rehabilitation, Substance Use Disorder
Address:
900 FIR ST
LONGVIEW, WA
ZIP 98632
Phone:
(360) 575-8275
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COWLITZ INDIAN TRIBE is a rehabilitation and substance use disorder clinic center in Longview, WA. COWLITZ INDIAN TRIBE NPI is 1528285038. The provider is registered as an organization entity type.
The provider Other Name Is Cowlitz Tribal Treatment.
The provider's business location address is:
900 FIR ST
LONGVIEW, WA
ZIP 98632
Phone: (360) 575-8275
The provider's authorized official is Shavon Keller .
The authorized official title is Billing Supervisor and has the following contact phone number (360) 353-9431.
The enumeration date for this NPI number is 4/19/2007 and was last updated on 2/3/2023.