Idaho Dept of Health & Welfare Reg 1 Amh
NPI #1447557772 in Kellogg, Idaho
Provider Information
- NPI Number
- 1447557772
- Entity Type
- Organization
- Organization Name
- Idaho Dept of Health & Welfare Reg 1 Amh
- Primary Specialty
- Clinic/Center - Adult Mental Health
- Enumeration Date
- Feb 23, 2011
- Last Updated
- Feb 23, 2011
Practice Location
Authorized Official
- Name
- VICKI MALONE
- Title
- PROGRAM MANAGER
- Phone
- (208) 769-1406
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Adult Mental Health — Adult Mental Health |
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