Idahodhwbh3 Cald Amh Psr

NPI #1023146529 in Caldwell, Idaho

Provider Information

NPI Number
1023146529
Entity Type
Organization
Organization Name
Idahodhwbh3 Cald Amh Psr
Primary Specialty
Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date
Feb 28, 2007
Last Updated
Aug 22, 2020

Practice Location

Address
3402 FRANKLIN RD
State
Idaho
ZIP Code
83605-6932
Phone
(208) 459-0092

Authorized Official

Name
MR. TODD L HURT, M.S.
Title
FIELD OPERATIOINS MANAGER
Phone
(208) 455-7057

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Mental Health (Including Community Mental Health Center)Mental Health (Including Community Mental Health Center)

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