State of Idaho Department of Health and Welfare
NPI #1992789101 in Blackfoot, Idaho
Provider Information
- NPI Number
- 1992789101
- Entity Type
- Organization
- Organization Name
- State of Idaho Department of Health and Welfare
- Primary Specialty
- Psychiatric Hospital
- Enumeration Date
- Dec 1, 2005
- Last Updated
- May 8, 2013
Practice Location
Authorized Official
- Name
- MRS. TRACEY G. SESSIONS
- Title
- HOSPITAL ADMINISTRATOR
- Phone
- (208) 785-8402
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatric Hospital |
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