Idaho Dept of Health & Welfare Reg 2 Amh
NPI #1174820401 in Grangeville, Idaho
Provider Information
- NPI Number
- 1174820401
- Entity Type
- Organization
- Organization Name
- Idaho Dept of Health & Welfare Reg 2 Amh
- Primary Specialty
- Clinic/Center - Adult Mental Health
- Enumeration Date
- Feb 23, 2011
- Last Updated
- Feb 23, 2011
Practice Location
- Address
- 216 S C ST
- City
- Grangeville
- State
- Idaho
- ZIP Code
- 83530-1342
- Phone
- (208) 983-2300
Authorized Official
- Name
- VICKI MALONE
- Title
- PROGRAM MANAGER
- Phone
- (208) 799-4440
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Adult Mental Health — Adult Mental Health |
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