Periwinkle Children's Therapy
Periwinkle Children's Therapy is a Community/Behavioral Health Agency in Coeur D Alene, Idaho. Licensed in Idaho. Registered with an NPI since 2016.
- Licensed in
- ID
- In the registry since
- 2016
Practice location Address checks out
917 W Canfield AveCoeur D Alene, ID 83815-9764
Phone: (208) 762-3502
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Behavioral Health Agency (primary) | Taxonomy 251S00000X · Licence TSLP-3021 (ID) |
|---|
Record details
| NPI number | 1598211856 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Michelle Coppess — Owner · (208) 818-4573 |
| NPI enumerated | August 28, 2016 |
| Last updated in NPPES | August 28, 2016 |
| Mailing address | 917 W. Canfield Ave, Coeur D Alene, ID 83815-9764 |
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