Idaho Dept of Health & Welfare Reg 2 Cmh
Idaho Dept of Health & Welfare Reg 2 Cmh is an Adolescent and Children Mental Health Clinic/Center in Moscow, Idaho. Registered with an NPI since 2011.
- In the registry since
- 2011
Practice location Address checks out
1350 Troy HwyMoscow, ID 83843-3995
Phone: (208) 882-0562
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Adolescent and Children Mental Health Clinic/Center (primary) | Taxonomy 261QM0855X |
|---|
Record details
| NPI number | 1639476294 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Vicki Malone — Program Manager · (208) 799-4440 |
| NPI enumerated | February 17, 2011 |
| Last updated in NPPES | February 17, 2011 |
| Mailing address | 1350 Troy Highway, Moscow, ID 83843-3995 |