IDAHODHWBH3 PAYETTE CMH PSR

PAYETTE, ID
NPI1154459444
Entity TypeOrganization
Authorized ContactTODD L HURT
Field Operations Manager
208-455-7057
Organization Subpart ?No
Primary Taxonomy261QR0400X Clinic/Center, Rehabilitation
Enumeration Date2007-03-01
Last Update Date2020-08-22
Business Address
IDAHODHWBH3 PAYETTE CMH PSR
515 16TH AVE N
PAYETTE, ID 83661-2047
Phone number: 208-642-6416
Mailing Address
IDAHODHWBH3 PAYETTE CMH PSR
515 16TH AVE N
PAYETTE, ID 83661-2047
Phone number: 208-642-6416