Idaho Dept of Health & Welfare Reg 1 Ahm Psr Sandpoint
Idaho Dept of Health & Welfare Reg 1 Ahm Psr Sandpoint is a Mental Health Clinic/Center (Including Community Mental Health Center) in Ponderay, Idaho. Registered with an NPI since 2007.
- In the registry since
- 2007
Practice location Address checks out
207 Larkspur StPonderay, ID 83852-5011
Phone: (208) 265-4535
Fax: (208) 263-4198
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Clinic/Center (Including Community Mental Health Center) (primary) | Taxonomy 261QM0801X |
|---|
Record details
| NPI number | 1417084716 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Holly Bonwell — Program Manager · (208) 769-1406 |
| NPI enumerated | February 27, 2007 |
| Last updated in NPPES | August 25, 2016 |
| Mailing address | 207 Larkspur St, Ponderay, ID 83852-5011 |