Idaho Dept of Health & Welfare Reg 1 Cmh Psr Cda
Idaho Dept of Health & Welfare Reg 1 Cmh Psr Cda is a Rehabilitation Clinic/Center in Coeur D Alene, Idaho. Registered with an NPI since 2007.
- In the registry since
- 2007
Practice location Address checks out
1250 Ironwood Dr Ste 100Coeur D Alene, ID 83814-2628
Phone: (208) 769-1515
Fax: (208) 666-6744
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Rehabilitation Clinic/Center (primary) | Taxonomy 261QR0400X |
|---|
Record details
| NPI number | 1164550455 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Cora Jo Gussenhoven — Program Manager · (208) 769-1406 |
| NPI enumerated | March 1, 2007 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 1250 Ironwood Dr Ste 100, Coeur D Alene, ID 83814-2628 |