Idaho Dept of Health & Welfare Reg 1 Amh Psr Bonners Ferry
Idaho Dept of Health & Welfare Reg 1 Amh Psr Bonners Ferry is a Mental Health Clinic/Center (Including Community Mental Health Center) in Bonners Ferry, Idaho. Registered with an NPI since 2007.
- In the registry since
- 2007
Practice location Address checks out
Rt 4 6522 Tamarack LnBonners Ferry, ID 83805-9805
Phone: (208) 267-3187
Fax: (208) 267-3251
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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 | 1376670091 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Cora Jo Gussenhoven — Program Manager · (208) 769-1406 |
| NPI enumerated | February 28, 2007 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | Rt 4 6522 Tamarack Ln, Bonners Ferry, ID 83805-9805 |
Other providers in Bonners Ferry
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Gina M. Beck, LCSW PLLC
6451 McCall St Ste D, Bonners Ferry, ID 83805-8525 · (208) 255-6937