Regenerize Psychiatry Pllc

NPI #1043054075 in Sandpoint, Idaho

Provider Information

NPI Number: 1043054075
Entity Type: Organization
Organization Name: Regenerize Psychiatry Pllc
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Jun 24, 2024
Last Updated: Oct 27, 2024

Practice Location

Address: 605 S OLIVE AVE
City: Sandpoint
State: Idaho
ZIP Code: 83864-1154
Phone: (209) 677-7747

Authorized Official

Name: RADLEY PETERSON
Title: OWNER
Phone: (208) 899-5997

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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