Idaho Dept of Health & Welfare Reg II Amh Grangeville
NPI #1578691614 in Grangeville, Idaho
Provider Information
- NPI Number
- 1578691614
- Entity Type
- Organization
- Organization Name
- Idaho Dept of Health & Welfare Reg II Amh Grangeville
- Primary Specialty
- Clinic/Center - Mental Health (Including Community Mental Health Center)
- Enumeration Date
- Mar 1, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 216 S C ST
- City
- Grangeville
- State
- Idaho
- ZIP Code
- 83530-1342
- Phone
- (208) 983-2300
Authorized Official
- Name
- VICKI R. MALONE, MSW
- Title
- PROGRAM MANAGER
- Phone
- (208) 799-4440
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center) |
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