OrganizationActive
Cowlitz Indian Tribe
NPI 1730754045 · Substance Use Disorder Rehabilitation Clinic/Center · Dupont, WA
Provider details
- NPI number
- 1730754045
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Steven Kutz, Executive Director Hhs(360) 575-8275
Specialties & taxonomies
Ambulatory Health Care Facilities
- Health Service Clinic/Center261QH0100X
Ambulatory Health Care Facilities
Practice location
1000 Davis Pl
Dupont, WA 98327-8781
Phone: (206) 721-5170
Fax: (206) 721-6288
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 2429
Longview, WA 98632-8486
Registry dates
- Enumerated
- 2021-05-20
- Last updated
- 2021-05-20
- Certified
- 2021-04-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.