Idaho Department of Health & Welfare

NPI #1174389829 in Nampa, Idaho

Provider Information

NPI Number
1174389829
Entity Type
Organization
Organization Name
Idaho Department of Health & Welfare
Subpart
Yes (part of a larger organization)
Parent Organization
IDAHO DEPARTMENT OF HEALTH & WELFARE
Primary Specialty
Psychiatry & Neurology - Psychiatry
Enumeration Date
Feb 21, 2024
Last Updated
Feb 21, 2024

Practice Location

Address
1652 11TH AVE N
City
Nampa
State
Idaho
ZIP Code
83687-5000
Phone
(208) 606-7777

Authorized Official

Name
CHRISTINA GALLEGOS
Title
ADMINISTRATIVE SUPPORT MANAGER
Phone
(208) 606-7777

Specialties & Taxonomy Codes

Specialty
Psychiatry & Neurology - PsychiatryPsychiatry

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