institution
Idahodhwbh3 Payette Amh Psr
Mental Health Clinic/Center (Including Community Mental Health Center) in Payette, Idaho
NPI 1568590073

Idahodhwbh3 Payette Amh Psr is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Payette, ID and is specialized in Mental Health (Including Community Mental Health Center). Idahodhwbh3 Payette Amh Psr practices in Payette, ID. The NPI Number for Idahodhwbh3 Payette Amh Psr is 1568590073 and holds a License No. (Idaho).

The current practice location address for Idahodhwbh3 Payette Amh Psr is 515 16Th Ave N, Payette, ID and can be reached out via phone at 208-642-6416 and via fax at 208-642-2829.

Location: 515 16Th Ave N, Payette, ID, 83661-2047
institution
Provider Profile Details
NPI Number
1568590073
Provider Name
Idahodhwbh3 Payette Amh Psr
Credential
Provider Entity Type
Organization
Address
515 16Th Ave N, Payette, ID, 83661-2047
Phone Number
208-642-6416
Fax Number
208-642-2829
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
8073591 05 ID
HW298 01 ID BLUE CROSS OF IDAHO
institution
Provider Business Practice Location Address Details
Address
515 16Th Ave N
City
State
Zip
83661-2047
Phone Number
208-642-6416
Fax Number
208-642-2829
person
Provider Business Mailing Address Details
Address
515 16Th Ave N
City
State
Zip
83661-2047
Phone Number
208-642-6416
Fax Number
208-642-2829
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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