EAGLE CREST LIFE SERVICES

COEUR D ALENE, ID
NPI1659572493
Entity TypeOrganization
Authorized ContactROBERT WHEELER
President
208-666-9162
Organization Subpart ?No
Primary Taxonomy103TP0016X Psychologist, Prescribing (Medical)
Enumeration Date2007-05-30
Last Update Date2020-08-22
Business Address
EAGLE CREST LIFE SERVICES
416 E COEUR DALENE AVE
COEUR D ALENE, ID 83814-2825
Phone number: 208-666-9162
Mailing Address
EAGLE CREST LIFE SERVICES
PO BOX 3723
COEUR D ALENE, ID 83816-2529
Phone number: