institution
Idahodhwbh3 Cald Amh Psr
Mental Health Clinic/Center (Including Community Mental Health Center) in Caldwell, Idaho
NPI 1023146529

Idahodhwbh3 Cald Amh Psr is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Caldwell, ID and is specialized in Mental Health (Including Community Mental Health Center). Idahodhwbh3 Cald Amh Psr practices in Caldwell, ID. The NPI Number for Idahodhwbh3 Cald Amh Psr is 1023146529 and holds a License No. (Idaho).

The current practice location address for Idahodhwbh3 Cald Amh Psr is 3402 Franklin Rd, Caldwell, ID and can be reached out via phone at 208-459-0092 and via fax at 208-454-7714.

Location: 3402 Franklin Rd, Caldwell, ID, 83605-6932
institution
Provider Profile Details
NPI Number
1023146529
Provider Name
Idahodhwbh3 Cald Amh Psr
Credential
Provider Entity Type
Organization
Address
3402 Franklin Rd, Caldwell, ID, 83605-6932
Phone Number
208-459-0092
Fax Number
208-454-7714
Provider Enumeration Date
02/28/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000010027633 01 ID BLUESHIELD
0028417 05 ID
HW298 01 ID BLUE CROSS OF IDAHO
institution
Provider Business Practice Location Address Details
Address
3402 Franklin Rd
City
State
Zip
83605-6932
Phone Number
208-459-0092
Fax Number
208-454-7714
person
Provider Business Mailing Address Details
Address
3402 Franklin Rd
City
State
Zip
83605-6932
Phone Number
208-459-0092
Fax Number
208-454-7714
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
License No.
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Definition
Definition to come...
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