Idaho Dept of Health & Welfare

NPI #1689984254 in Payette, Idaho

Provider Information

NPI Number
1689984254
Entity Type
Organization
Organization Name
Idaho Dept of Health & Welfare
Primary Specialty
Clinic/Center - Adolescent and Children Mental Health
Enumeration Date
Oct 18, 2010
Last Updated
Oct 18, 2010

Practice Location

Address
515 16TH AVE N
State
Idaho
ZIP Code
83661-2047
Phone
(208) 642-6412

Authorized Official

Name
TODD HURT
Title
PROGRAM MANAGER
Phone
(208) 455-7057

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Adolescent and Children Mental HealthAdolescent and Children Mental Health

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