Idaho Dept of Health & Welfare R5 Amh Cl
NPI #1720119225 in Twin Falls, Idaho
Provider Information
- NPI Number
- 1720119225
- Entity Type
- Organization
- Organization Name
- Idaho Dept of Health & Welfare R5 Amh Cl
- Primary Specialty
- Clinic/Center - Adult Mental Health
- Enumeration Date
- Mar 8, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 823 HARRISON ST
- City
- Twin Falls
- State
- Idaho
- ZIP Code
- 83301-3925
- Phone
- (208) 736-2177
Authorized Official
- Name
- DUKE MORTON
- Title
- FIELD SERVICES PROGRAM MANAGER
- Phone
- (208) 736-2177
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Adult Mental Health — Adult Mental Health |
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