Idaho Dept of Health & Welfare Reg 1 Ahm Psr Sandpoint
NPI #1417084716 in Ponderay, Idaho
Provider Information
- NPI Number
- 1417084716
- Entity Type
- Organization
- Organization Name
- Idaho Dept of Health & Welfare Reg 1 Ahm Psr Sandpoint
- Primary Specialty
- Clinic/Center - Mental Health (Including Community Mental Health Center)
- Enumeration Date
- Feb 27, 2007
- Last Updated
- Aug 25, 2016
Practice Location
Authorized Official
- Name
- HOLLY BONWELL
- Title
- PROGRAM MANAGER
- Phone
- (208) 769-1406
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center) |
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