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Idaho Dept Of Health & Welfare Reg 2 Cmh
Adolescent and Children Mental Health Clinic/Center in Moscow, Idaho
NPI 1639476294

Idaho Dept Of Health & Welfare Reg 2 Cmh is an Adolescent and Children Mental Health Clinic/Center based in Moscow, ID and is specialized in Adolescent and Children Mental Health. Idaho Dept Of Health & Welfare Reg 2 Cmh practices in Moscow, ID. The NPI Number for Idaho Dept Of Health & Welfare Reg 2 Cmh is 1639476294 and holds a License No. (Idaho).

The current practice location address for Idaho Dept Of Health & Welfare Reg 2 Cmh is 1350 Troy Highway, Moscow, ID and can be reached out via phone at 208-882-0562. You can also correspond with Idaho Dept Of Health & Welfare Reg 2 Cmh through the mailing address at 1350 TROY HIGHWAY, MOSCOW, ID - 83843-3995 (mailing address contact number: 208-882-0562).

Location: 1350 Troy Highway, Moscow, ID, 83843-3995
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1639476294
Provider Name
Idaho Dept Of Health & Welfare Reg 2 Cmh
Credential
Provider Entity Type
Organization
Address
1350 Troy Highway, Moscow, ID, 83843-3995
Phone Number
208-882-0562
Fax Number
Provider Enumeration Date
02/17/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000010018450 01 ID BLUE SHIELD
HW140 01 ID BLUE CROSS
institution
Provider Business Practice Location Address Details
Address
1350 Troy Highway
City
Moscow
State
Idaho
Zip
83843-3995
Phone Number
208-882-0562
Fax Number
person
Provider Business Mailing Address Details
Address
1350 Troy Highway
City
Moscow
State
Idaho
Zip
83843-3995
Phone Number
208-882-0562
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
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Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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