Eagle River Psychiatry and Counseling

NPI #1770847311 in Eagle, Idaho

Provider Information

NPI Number: 1770847311
Entity Type: Organization
Organization Name: Eagle River Psychiatry and Counseling
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Jun 28, 2012
Last Updated: Jun 28, 2012

Practice Location

Address: 1032 S BRIDGE WAY PL STE 100
City: Eagle
State: Idaho
ZIP Code: 83616-6099
Phone: (208) 246-0123

Authorized Official

Name: STEPHANIE CHENEY
Title: BUSINESS MANAGER
Phone: (208) 955-1601

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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