institution
Northwest Children's Home
Emotionally Disturbed Childrens' Residential Treatment Facility in Lewiston, Idaho
NPI 1245368224

Northwest Children's Home is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Lewiston, ID. Northwest Children's Home practices in Lewiston, ID. The NPI Number for Northwest Children's Home is 1245368224 and holds a License No. LCPC-2754 (Idaho).

The current practice location address for Northwest Children's Home is 419 22Nd Ave, Lewiston, ID and can be reached out via phone at 208-743-9404. You can also correspond with Northwest Children's Home through the mailing address at 419 22ND AVE, LEWISTON, ID - 83501-3812 (mailing address contact number: 208-743-9404).

Location: 419 22Nd Ave, Lewiston, ID, 83501-3812
institution
Provider Profile Details
NPI Number
1245368224
Provider Name
Northwest Children's Home
Credential
Provider Entity Type
Organization
Address
419 22Nd Ave, Lewiston, ID, 83501-3812
Phone Number
208-743-9404
Fax Number
Provider Enumeration Date
03/01/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
807371000 05 ID
807385700 05 ID
804258900 05 ID
002265000 05 ID
807385500 05 ID
institution
Provider Business Practice Location Address Details
Address
419 22Nd Ave
City
State
Zip
83501-3812
Phone Number
208-743-9404
Fax Number
person
Provider Business Mailing Address Details
Address
419 22Nd Ave
City
State
Zip
83501-3812
Phone Number
208-743-9404
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
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Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
License No.
LCPC-2754 (Idaho)
Definition
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
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