institution
Idaho Dept Of Health & Welfare Reg Ii Amh Moscow
Mental Health Clinic/Center (Including Community Mental Health Center) in Moscow, Idaho
NPI 1326176132

Idaho Dept Of Health & Welfare Reg Ii Amh Moscow is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Moscow, ID and is specialized in Mental Health (Including Community Mental Health Center). Idaho Dept Of Health & Welfare Reg Ii Amh Moscow practices in Moscow, ID. The NPI Number for Idaho Dept Of Health & Welfare Reg Ii Amh Moscow is 1326176132 and holds a License No. (Idaho).

The current practice location address for Idaho Dept Of Health & Welfare Reg Ii Amh Moscow is 1350 Troy Hwy, Moscow, ID and can be reached out via phone at 208-882-0562 and via fax at 208-882-8575. You can also correspond with Idaho Dept Of Health & Welfare Reg Ii Amh Moscow through the mailing address at 1350 TROY HWY, MOSCOW, ID - 83843-3995 (mailing address contact number: 208-882-0562).

Location: 1350 Troy Hwy, Moscow, ID, 83843-3995
institution
Provider Profile Details
NPI Number
1326176132
Provider Name
Idaho Dept Of Health & Welfare Reg Ii Amh Moscow
Credential
Provider Entity Type
Organization
Address
1350 Troy Hwy, Moscow, ID, 83843-3995
Phone Number
208-882-0562
Fax Number
208-882-8575
Provider Enumeration Date
03/01/2007
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
8073803 05 ID
HW264 01 BLUE CROSS OF IDAHO
000010018440 01 BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
1350 Troy Hwy
City
State
Zip
83843-3995
Phone Number
208-882-0562
Fax Number
208-882-8575
person
Provider Business Mailing Address Details
Address
1350 Troy Hwy
City
State
Zip
83843-3995
Phone Number
208-882-0562
Fax Number
208-882-8575
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.
()
Definition
Definition to come...
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