IDAHO DEPT OF HEALTH & WELFARE REG 1 AMH

KELLOGG, ID
NPI1447557772
Entity TypeOrganization
Authorized ContactVICKI MALONE
Program Manager
208-769-1406
Organization Subpart ?No
Primary Taxonomy261QM0850X Clinic/Center, Adult Mental Health
Enumeration Date2011-02-23
Last Update Date2011-02-23
Business Address
IDAHO DEPT OF HEALTH & WELFARE REG 1 AMH
35 WILDCAT WAY
KELLOGG, ID 83837-2261
Phone number: 208-784-1351
Mailing Address
IDAHO DEPT OF HEALTH & WELFARE REG 1 AMH
35 WILDCAT WAY
KELLOGG, ID 83837-2261
Phone number: 208-784-1351
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