institution
Idaho Dept Of Health & Welfare Reg 1 Amh
Adult Mental Health Clinic/Center in St Maries, Idaho
NPI 1710284047

Idaho Dept Of Health & Welfare Reg 1 Amh is an Adult Mental Health Clinic/Center based in St Maries, ID and is specialized in Adult Mental Health. Idaho Dept Of Health & Welfare Reg 1 Amh practices in St Maries, ID. The NPI Number for Idaho Dept Of Health & Welfare Reg 1 Amh is 1710284047 and holds a License No. (Idaho).

The current practice location address for Idaho Dept Of Health & Welfare Reg 1 Amh is 222 S 7Th St, St Maries, ID and can be reached out via phone at 208-245-2541 and via fax at 208-245-7131.

Location: 222 S 7Th St, St Maries, ID, 83861-1847
institution
Provider Profile Details
NPI Number
1710284047
Provider Name
Idaho Dept Of Health & Welfare Reg 1 Amh
Credential
Provider Entity Type
Organization
Address
222 S 7Th St, St Maries, ID, 83861-1847
Phone Number
208-245-2541
Fax Number
208-245-7131
Provider Enumeration Date
02/23/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
HW256 01 ID BLUE CROSS OF IDAHO
000010018348 01 ID BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
222 S 7Th St
City
State
Zip
83861-1847
Phone Number
208-245-2541
Fax Number
208-245-7131
person
Provider Business Mailing Address Details
Address
222 S 7Th St
City
State
Zip
83861-1847
Phone Number
208-245-2541
Fax Number
208-245-7131
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
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 adults.
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