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Katherine Wacholz Agency
Community/Behavioral Health Agency in Hayden Lake, Idaho
NPI 1912542648

Katherine Wacholz Agency is a Community/Behavioral Health Agency based in Hayden Lake, ID. Katherine Wacholz Agency practices in Hayden Lake, ID. The NPI Number for Katherine Wacholz Agency is 1912542648 and holds a License No. (Idaho).

The current practice location address for Katherine Wacholz Agency is 5723 E Dodd Rd, Hayden Lake, ID and can be reached out via phone at 208-699-1704.

Location: 5723 E Dodd Rd, Hayden Lake, ID, 83835-9376
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1912542648
Provider Name
Katherine Wacholz Agency
Credential
Provider Entity Type
Organization
Address
5723 E Dodd Rd, Hayden Lake, ID, 83835-9376
Phone Number
208-699-1704
Fax Number
Provider Enumeration Date
11/18/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
84-2522234 05 ID
institution
Provider Business Practice Location Address Details
Address
5723 E Dodd Rd
City
Hayden Lake
State
Idaho
Zip
83835-9376
Phone Number
208-699-1704
Fax Number
person
Provider Business Mailing Address Details
Address
5723 E Dodd Rd
City
Hayden Lake
State
Idaho
Zip
83835-9376
Phone Number
208-699-1704
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
()
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
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