Idaho Dept of Health & Welfare Reg 2 Cmh
NPI #1639476294 in Moscow, Idaho
Provider Information
- NPI Number
- 1639476294
- Entity Type
- Organization
- Organization Name
- Idaho Dept of Health & Welfare Reg 2 Cmh
- Primary Specialty
- Clinic/Center - Adolescent and Children Mental Health
- Enumeration Date
- Feb 17, 2011
- Last Updated
- Feb 17, 2011
Practice Location
Authorized Official
- Name
- VICKI MALONE
- Title
- PROGRAM MANAGER
- Phone
- (208) 799-4440
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Adolescent and Children Mental Health — Adolescent and Children Mental Health |
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