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1467589184
IDAHO DEPT OF HEALTH & WELFARE REG 1 AMH CLINIC SANDPOINT
PONDERAY, ID
NPI
1467589184
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Entity Type
Organization
Authorized Contact
HOLLY BONWELL
Program Manager
208-769-1406
Organization Subpart ?
No
Primary Taxonomy
261QM0850X Clinic/Center, Adult Mental Health
Enumeration Date
2007-02-28
Last Update Date
2016-08-25
Business Address
IDAHO DEPT OF HEALTH & WELFARE REG 1 AMH CLINIC SANDPOINT
207 LARKSPUR ST
PONDERAY, ID 83852-5011
Phone number: 208-265-4535
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Mailing Address
IDAHO DEPT OF HEALTH & WELFARE REG 1 AMH CLINIC SANDPOINT
207 LARKSPUR ST
PONDERAY, ID 83852-5011
Phone number: 208-265-4535
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