Idahodhwbh3 Payette Cmh Psr

NPI #1154459444 in Payette, Idaho

Provider Information

NPI Number
1154459444
Entity Type
Organization
Organization Name
Idahodhwbh3 Payette Cmh Psr
Primary Specialty
Clinic/Center - Rehabilitation
Enumeration Date
Mar 1, 2007
Last Updated
Aug 22, 2020

Practice Location

Address
515 16TH AVE N
State
Idaho
ZIP Code
83661-2047
Phone
(208) 642-6416

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Clinic/Center - RehabilitationRehabilitation

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