Mountain Mental Health

NPI #1124716261 in Driggs, Idaho

Provider Information

NPI Number: 1124716261
Entity Type: Organization
Organization Name: Mountain Mental Health
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Apr 26, 2023
Last Updated: Apr 26, 2023

Practice Location

Address: 78 N MAIN ST UNIT 208
City: Driggs
State: Idaho
ZIP Code: 83422-5141
Phone: (307) 699-0489

Authorized Official

Name: CHARLOTTE P. DIPRISCO, MS
Title: THERAPIST
Phone: (307) 699-0489

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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