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1811025406
IDAHO DEPT OF HEALTH & WELFARE REG II AMH LEW. CLINIC
LEWISTON, ID
NPI
1811025406
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Entity Type
Organization
Authorized Contact
VICKI R. MALONE
Program Manager
208-799-4440
Organization Subpart ?
No
Primary Taxonomy
261QM0850X Clinic/Center Adult Mental Health
Enumeration Date
2007-03-02
Last Update Date
2020-08-22
Business Address
IDAHO DEPT OF HEALTH & WELFARE REG II AMH LEW. CLINIC
1118 F ST
LEWISTON, ID 83501-1930
Phone number: 208-799-4440
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Mailing Address
IDAHO DEPT OF HEALTH & WELFARE REG II AMH LEW. CLINIC
1118 F ST DRAWER B
LEWISTON, ID 83501-1930
Phone number: 208-799-4440
Copy
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