Mental Wellness Clinic of Coeur D Alene
NPI #1376763474 in Coeur D Alene, Idaho
Provider Information
- NPI Number
- 1376763474
- Entity Type
- Organization
- Organization Name
- Mental Wellness Clinic of Coeur D Alene
- Primary Specialty
- Specialist
- Enumeration Date
- Apr 30, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 500 N GOVERNMENT WAY
- Address 2
- SUITE 100
- City
- Coeur D Alene
- State
- Idaho
- ZIP Code
- 83814-2913
- Phone
- (208) 676-1003
Authorized Official
- Name
- MRS. KELLY LAGROU, BA
- Title
- OWNER PROGRAM MANAGER
- Phone
- (208) 676-1003
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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