Innercept
NPI #1003086653 in Coeur D Alene, Idaho
Provider Information
- NPI Number
- 1003086653
- Entity Type
- Organization
- Organization Name
- Innercept
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- ALTIORHEALTHCARE
- Primary Specialty
- Community Based Residential Treatment Facility, Mental Illness
- Enumeration Date
- Mar 10, 2008
- Last Updated
- May 26, 2023
Practice Location
- Address
- 1115 IRONWOOD DRIVE
- Address 2
- SUITE A
- City
- Coeur D Alene
- State
- Idaho
- ZIP Code
- 83814-4936
- Phone
- (208) 665-7178
Authorized Official
- Name
- MR. JONATHAN MARK MONROE, MD
- Title
- CFO
- Phone
- (951) 334-2233
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Mental Illness |
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