Northwest Children's Home

NPI #1184458960 in Lewiston, Idaho

Provider Information

NPI Number
1184458960
Entity Type
Organization
Organization Name
Northwest Children's Home
Primary Specialty
Residential Treatment Facility, Emotionally Disturbed Children
Enumeration Date
Aug 26, 2024
Last Updated
Aug 26, 2024

Practice Location

Address
419 22ND AVE
State
Idaho
ZIP Code
83501-3812
Phone
(208) 743-9404

Authorized Official

Name
MELISSA HORNER
Title
OFFICE MANAGER
Phone
(208) 816-6078

Specialties & Taxonomy Codes

Specialty
Residential Treatment Facility, Emotionally Disturbed Children

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