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Idaho Dept Of Health & Welfare Reg 1 Amh Clinic Cda
Adult Mental Health Clinic/Center in Coeur D Alene, Idaho
NPI 1831226547

Idaho Dept Of Health & Welfare Reg 1 Amh Clinic Cda is an Adult Mental Health Clinic/Center based in Coeur D Alene, ID and is specialized in Adult Mental Health. Idaho Dept Of Health & Welfare Reg 1 Amh Clinic Cda practices in Coeur D Alene, ID. The NPI Number for Idaho Dept Of Health & Welfare Reg 1 Amh Clinic Cda is 1831226547 and holds a License No. (Idaho).

The current practice location address for Idaho Dept Of Health & Welfare Reg 1 Amh Clinic Cda is 2195 Ironwood Ct, Coeur D Alene, ID and can be reached out via phone at 208-769-1406 and via fax at 208-769-1430.

Location: 2195 Ironwood Ct, Coeur D Alene, ID, 83814-2628
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1831226547
Provider Name
Idaho Dept Of Health & Welfare Reg 1 Amh Clinic Cda
Credential
Provider Entity Type
Organization
Address
2195 Ironwood Ct, Coeur D Alene, ID, 83814-2628
Phone Number
208-769-1406
Fax Number
208-769-1430
Provider Enumeration Date
02/28/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000010018348 01 BLUE SHIELD
8073574 05 ID
HW256 01 BLUE CROSS OF IDAHO
institution
Provider Business Practice Location Address Details
Address
2195 Ironwood Ct
City
Coeur D Alene
State
Idaho
Zip
83814-2628
Phone Number
208-769-1406
Fax Number
208-769-1430
person
Provider Business Mailing Address Details
Address
2195 Ironwood Ct
City
Coeur D Alene
State
Idaho
Zip
83814-2628
Phone Number
208-769-1406
Fax Number
208-769-1430
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
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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