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Confederated Tribes of the Colville Reservation — NPI 1760056022, Keller, WA | NPI Central

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NPI 1760056022

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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

Substance Abuse Rehabilitation FacilityPrimary324500000X
Residential Treatment Facilities

Practice location

11614 Highway 21 South

Keller, WA 99140

Phone: (509) 634-2050

Approximate (ZIP-level) locationGet directions

More WA providers

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.