Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Project Patch

Organization Emotionally Disturbed Childrens' Residential Treatment Facility · NPI 1457681736

Project Patch is an Emotionally Disturbed Childrens' Residential Treatment Facility in Garden Valley, Idaho. Licensed in Idaho. Registered with an NPI since 2010.

Licensed in
ID
In the registry since
2010

Practice location Address checks out

25 Miracle Ln # 450
Garden Valley, ID 83622-1044
Phone: (208) 462-3074
Fax: (208) 462-3209
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emotionally Disturbed Childrens' Residential Treatment Facility (primary) Taxonomy 322D00000X · Licence 26124 (ID)

Record details

NPI number1457681736
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Chuck Hagele — Chief Operating Officer · (360) 690-8495
NPI enumeratedJanuary 8, 2010
Last updated in NPPESApril 28, 2026
Certification dateApril 28, 2026
Mailing addressPo Box 820209, Vancouver, WA 98682-0004