IDAHO DEPT OF HEALTH & WELFARE REG 2 CMH

MOSCOW, ID
NPI1639476294
Entity TypeOrganization
Authorized ContactVICKI MALONE
Program Manager
208-799-4440
Organization Subpart ?No
Primary Taxonomy261QM0855X Clinic/Center, Adolescent and Children Mental Health
Enumeration Date2011-02-17
Last Update Date2011-02-17
Business Address
IDAHO DEPT OF HEALTH & WELFARE REG 2 CMH
1350 TROY HIGHWAY
MOSCOW, ID 83843-3995
Phone number: 208-882-0562
Mailing Address
IDAHO DEPT OF HEALTH & WELFARE REG 2 CMH
1350 TROY HIGHWAY
MOSCOW, ID 83843-3995
Phone number: 208-882-0562