Clearwater Care Center, Inc.

NPI #1740303239 in Twin Falls, Idaho

Provider Information

NPI Number
1740303239
Entity Type
Organization
Organization Name
Clearwater Care Center, Inc.
Primary Specialty
Intermediate Care Facility, Mental Illness
Enumeration Date
Apr 9, 2007
Last Updated
Aug 22, 2020

Practice Location

Address
1411 FALLS AVE E
Address 2
SUITE 703
State
Idaho
ZIP Code
83301-3455
Phone
(208) 734-8973

Authorized Official

Name
RENE STEPHENS
Title
ADMINISTRATOR
Phone
(208) 734-8973

Specialties & Taxonomy Codes

Specialty
Intermediate Care Facility, Mental Illness

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