IDAHO DEPT. OF HEALTH & WELFARE REG II CMH LEWISTON

LEWISTON, ID
NPI1528197514
Entity TypeOrganization
Authorized ContactVICKI R. MALONE
Program Manager
208-799-4440
Organization Subpart ?No
Primary Taxonomy261QR0400X Clinic/Center, Rehabilitation
Enumeration Date2007-03-05
Last Update Date2020-08-22
Business Address
IDAHO DEPT. OF HEALTH & WELFARE REG II CMH LEWISTON
1118 F ST DRAWER B
LEWISTON, ID 83501-1930
Phone number: 208-799-4360
Mailing Address
IDAHO DEPT. OF HEALTH & WELFARE REG II CMH LEWISTON
1118 F ST DRAWER B
LEWISTON, ID 83501-1930
Phone number: 208-799-4360