OrganizationActive
Confederated Tribes of the Colville Reservation
NPI 1760056022 · Substance Abuse Rehabilitation Facility · Keller, WA
Provider details
- NPI number
- 1760056022
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Parent organization
- Confederated Tribes of the Colville Reservation
- Organization subpart
- Yes
- Authorized official
- Amy Church, Revenue Cycle Manager(509) 634-2783
Specialties & taxonomies
Residential Treatment Facilities
Practice location
11614 Highway 21 South
Keller, WA 99140
Phone: (509) 634-2050
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 150
Nespelem, WA 99155-0150
Other names (DBA / former)
- Doing business as
- San Poil Treatment Center
Registry dates
- Enumerated
- 2021-05-19
- Last updated
- 2026-06-04
- Certified
- 2026-06-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.