IDAHO DEPT OF HEALTH & WELFARE REG 2 AMH

MOSCOW, ID
NPI1558668111
Entity TypeOrganization
Authorized ContactVICKI MALONE
Program Manager
208-799-4440
Organization Subpart ?No
Primary Taxonomy261QM0850X Clinic/Center, Adult Mental Health
Enumeration Date2011-02-17
Last Update Date2011-02-17
Business Address
IDAHO DEPT OF HEALTH & WELFARE REG 2 AMH
1350 TROY HIGHWAY
MOSCOW, ID 83843-3995
Phone number: 208-882-0562
Mailing Address
IDAHO DEPT OF HEALTH & WELFARE REG 2 AMH
1350 TROY HIGHWAY
MOSCOW, ID 83843-3995
Phone number: