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Idaho Dept Of Health & Welfare
Adolescent and Children Mental Health Clinic/Center in Payette, Idaho
NPI 1689984254

Idaho Dept Of Health & Welfare is an Adolescent and Children Mental Health Clinic/Center based in Payette, ID and is specialized in Adolescent and Children Mental Health. Idaho Dept Of Health & Welfare practices in Payette, ID. The NPI Number for Idaho Dept Of Health & Welfare is 1689984254 and holds a License No. (Idaho).

The current practice location address for Idaho Dept Of Health & Welfare is 515 16Th Ave N, Payette, ID and can be reached out via phone at 208-642-6412 and via fax at 208-642-2829.

Location: 515 16Th Ave N, Payette, ID, 83661-2047
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1689984254
Provider Name
Idaho Dept Of Health & Welfare
Credential
Provider Entity Type
Organization
Address
515 16Th Ave N, Payette, ID, 83661-2047
Phone Number
208-642-6412
Fax Number
208-642-2829
Provider Enumeration Date
10/18/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
HW348 01 ID BLUE CROSS OF IDAHO
000010018824 01 ID BLUESHIELD
institution
Provider Business Practice Location Address Details
Address
515 16Th Ave N
City
Payette
State
Idaho
Zip
83661-2047
Phone Number
208-642-6412
Fax Number
208-642-2829
person
Provider Business Mailing Address Details
Address
515 16Th Ave N
City
Payette
State
Idaho
Zip
83661-2047
Phone Number
208-642-6412
Fax Number
208-642-2829
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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