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Idaho Dept Of Health & Welfare Reg Ii Amh Lew. Clinic
Adult Mental Health Clinic/Center in Lewiston, Idaho
NPI 1811025406

Idaho Dept Of Health & Welfare Reg Ii Amh Lew. Clinic is an Adult Mental Health Clinic/Center based in Lewiston, ID and is specialized in Adult Mental Health. Idaho Dept Of Health & Welfare Reg Ii Amh Lew. Clinic practices in Lewiston, ID. The NPI Number for Idaho Dept Of Health & Welfare Reg Ii Amh Lew. Clinic is 1811025406 and holds a License No. (Idaho).

The current practice location address for Idaho Dept Of Health & Welfare Reg Ii Amh Lew. Clinic is 1118 F St, Lewiston, ID and can be reached out via phone at 208-799-4440 and via fax at 208-799-5171.

Location: 1118 F St, Lewiston, ID, 83501-1930
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1811025406
Provider Name
Idaho Dept Of Health & Welfare Reg Ii Amh Lew. Clinic
Credential
Provider Entity Type
Organization
Address
1118 F St, Lewiston, ID, 83501-1930
Phone Number
208-799-4440
Fax Number
208-799-5171
Provider Enumeration Date
03/02/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0028329 05 ID
000010018440 01 BLUE SHIELD
HW264 01 BLUE CROSS OF IDAHO
institution
Provider Business Practice Location Address Details
Address
1118 F St
City
Lewiston
State
Idaho
Zip
83501-1930
Phone Number
208-799-4440
Fax Number
208-799-5171
person
Provider Business Mailing Address Details
Address
1118 F St
City
Lewiston
State
Idaho
Zip
83501-1930
Phone Number
208-799-4440
Fax Number
208-799-5171
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
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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