Valley Vista Care Corporation

NPI #1336216621 in St Maries, Idaho

Provider Information

NPI Number: 1336216621
Entity Type: Organization
Organization Name: Valley Vista Care Corporation
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Nov 29, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 127 S 7TH ST
City: St Maries
State: Idaho
ZIP Code: 83861-1801
Phone: (208) 245-1920

Authorized Official

Name: GAIL MILLS
Title: CORPORATE COMPLIANCE MANAGER
Phone: (208) 245-4576

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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