IDAHO DEPT OF HEALTH & WELFARE REG 1 AMH

ST MARIES, ID
NPI1710284047
Entity TypeOrganization
Authorized ContactVICKI MALONE
Program Manager
208-769-1406
Organization Subpart ?No
Primary Taxonomy261QM0850X Clinic/Center Adult Mental Health
Enumeration Date2011-02-23
Last Update Date2011-02-23
Business Address
IDAHO DEPT OF HEALTH & WELFARE REG 1 AMH
222 S 7TH ST
ST MARIES, ID 83861-1847
Phone number: 208-245-2541
Mailing Address
IDAHO DEPT OF HEALTH & WELFARE REG 1 AMH
PO BOX 248
ST MARIES, ID 83861-1847
Phone number: 208-245-2541
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