Idaho Dept of Health & Welfare Amh Psr Mccall

NPI #1679603948 in Mccall, Idaho

Provider Information

NPI Number: 1679603948
Entity Type: Organization
Organization Name: Idaho Dept of Health & Welfare Amh Psr Mccall
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Mar 6, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 299 S 3RD ST
City: Mccall
State: Idaho
ZIP Code: 83638-5020
Phone: (208) 643-2228

Authorized Official

Name: GINA WESTCOTT, M.A.
Title: PROGRAM MANAGER
Phone: (208) 334-0969

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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