Easterseals-Goodwill Northern Rocky Mountain, Inc.

NPI #1558486951 in Nampa, Idaho

Provider Information

NPI Number: 1558486951
Entity Type: Organization
Organization Name: Easterseals-Goodwill Northern Rocky Mountain, Inc.
Primary Specialty: Community/Behavioral Health
Enumeration Date: Mar 21, 2007
Last Updated: Mar 26, 2019

Practice Location

Address: 1607 N PARKCENTRE PL
City: Nampa
State: Idaho
ZIP Code: 83651-1705
Phone: (208) 461-8470

Authorized Official

Name: MARK SHERMAN
Title: CFO
Phone: (406) 771-3762

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community/Behavioral Health	251S00000X	Primary

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