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Idaho Dept Of Health & Welfare Reg 1 Amh
Adult Mental Health Clinic/Center in Kellogg, Idaho
NPI 1447557772

Idaho Dept Of Health & Welfare Reg 1 Amh is an Adult Mental Health Clinic/Center based in Kellogg, ID and is specialized in Adult Mental Health. Idaho Dept Of Health & Welfare Reg 1 Amh practices in Kellogg, ID. The NPI Number for Idaho Dept Of Health & Welfare Reg 1 Amh is 1447557772 and holds a License No. (Idaho).

The current practice location address for Idaho Dept Of Health & Welfare Reg 1 Amh is 35 Wildcat Way, Kellogg, ID and can be reached out via phone at 208-784-1351 and via fax at 208-784-1356.

Location: 35 Wildcat Way, Kellogg, ID, 83837-2261
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1447557772
Provider Name
Idaho Dept Of Health & Welfare Reg 1 Amh
Credential
Provider Entity Type
Organization
Address
35 Wildcat Way, Kellogg, ID, 83837-2261
Phone Number
208-784-1351
Fax Number
208-784-1356
Provider Enumeration Date
02/23/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000010018348 01 ID BLUE SHIELD
HW256 01 ID BLUE CROSS
institution
Provider Business Practice Location Address Details
Address
35 Wildcat Way
City
Kellogg
State
Idaho
Zip
83837-2261
Phone Number
208-784-1351
Fax Number
208-784-1356
person
Provider Business Mailing Address Details
Address
35 Wildcat Way
City
Kellogg
State
Idaho
Zip
83837-2261
Phone Number
208-784-1351
Fax Number
208-784-1356
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
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