institution
Idaho Dept Of Health & Welfare Reg 1 Amh Clinic Sandpoint
Adult Mental Health Clinic/Center in Ponderay, Idaho
NPI 1467589184

Idaho Dept Of Health & Welfare Reg 1 Amh Clinic Sandpoint is an Adult Mental Health Clinic/Center based in Ponderay, ID and is specialized in Adult Mental Health. Idaho Dept Of Health & Welfare Reg 1 Amh Clinic Sandpoint practices in Ponderay, ID. The NPI Number for Idaho Dept Of Health & Welfare Reg 1 Amh Clinic Sandpoint is 1467589184 and holds a License No. (Idaho).

The current practice location address for Idaho Dept Of Health & Welfare Reg 1 Amh Clinic Sandpoint is 207 Larkspur St, Ponderay, ID and can be reached out via phone at 208-265-4535 and via fax at 208-263-4198. You can also correspond with Idaho Dept Of Health & Welfare Reg 1 Amh Clinic Sandpoint through the mailing address at 207 LARKSPUR ST, PONDERAY, ID - 83852-5011 (mailing address contact number: 208-265-4535).

Location: 207 Larkspur St, Ponderay, ID, 83852-5011
institution
Provider Profile Details
NPI Number
1467589184
Provider Name
Idaho Dept Of Health & Welfare Reg 1 Amh Clinic Sandpoint
Credential
Provider Entity Type
Organization
Address
207 Larkspur St, Ponderay, ID, 83852-5011
Phone Number
208-265-4535
Fax Number
208-263-4198
Provider Enumeration Date
02/28/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8073679 05 ID
HW256 01 BLUE CROSS OF IDAHO
000010018348 01 BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
207 Larkspur St
City
State
Zip
83852-5011
Phone Number
208-265-4535
Fax Number
208-263-4198
person
Provider Business Mailing Address Details
Address
207 Larkspur St
City
State
Zip
83852-5011
Phone Number
208-265-4535
Fax Number
208-263-4198
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
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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