Providence Human Services of Wa

NPI #1114336237 in Post Falls, Idaho

Provider Information

NPI Number
1114336237
Entity Type
Organization
Organization Name
Providence Human Services of Wa
Subpart
Yes (part of a larger organization)
Parent Organization
THE PROVIDENCE SERVICE CORPORATION
Primary Specialty
Community/Behavioral Health
Enumeration Date
Aug 4, 2014
Last Updated
Aug 4, 2014

Practice Location

Address
1700 E SCHNEIDMILLER AVE
State
Idaho
ZIP Code
83854-7085
Phone
(208) 619-0190

Authorized Official

Name
AMIKA DUPREE
Title
DIRECTOR OF OPERATIONS
Phone
(208) 619-0190

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health

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