Idaho Dept of Health & Welfare Itp Region 2

NPI #1053450221 in Lewiston, Idaho

Provider Information

NPI Number
1053450221
Entity Type
Organization
Organization Name
Idaho Dept of Health & Welfare Itp Region 2
Primary Specialty
Early Intervention Provider Agency
Enumeration Date
Feb 5, 2007
Last Updated
Aug 5, 2013

Practice Location

Address
2604 16TH AVE
State
Idaho
ZIP Code
83501-3539
Phone
(208) 799-3460

Authorized Official

Name
MS. MARY J JONES, B.U.S.
Title
PROGRAM MANAGER
Phone
(208) 334-5523

Specialties & Taxonomy Codes

Specialty
Local Education Agency (LEA)
Early Intervention Provider Agency

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