Idaho Dept of Health & Welfare Reg 1 Cmh Psr Cda
NPI #1164550455 in Coeur D Alene, Idaho
Provider Information
- NPI Number
- 1164550455
- Entity Type
- Organization
- Organization Name
- Idaho Dept of Health & Welfare Reg 1 Cmh Psr Cda
- Primary Specialty
- Clinic/Center - Rehabilitation
- Enumeration Date
- Mar 1, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1250 IRONWOOD DR STE 100
- City
- Coeur D Alene
- State
- Idaho
- ZIP Code
- 83814-2628
- Phone
- (208) 769-1515
Authorized Official
- Name
- CORA JO GUSSENHOVEN
- Title
- PROGRAM MANAGER
- Phone
- (208) 769-1406
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Rehabilitation — Rehabilitation |
Similar Providers
| Provider Name | |
|---|---|
| Idaho Dept of Health & Welfare Region 7 Cmh Psr If |  AI Deep Dive |
| Idaho Dept of Health & Welfare Region 7 Cmh Psr Rexburg | AI Deep Dive |
| Idaho Dept of Health & Welfare Region 7 Cmh Psr Salmon | AI Deep Dive |
| Idaho Dept of Health & Welfare Reg II Cmh Moscow | AI Deep Dive |
| Idahodhwbh3 Nampa Cmh Psr | AI Deep Dive |
Want to research this healthcare provider further?
Try NewBizBot free