IDAHO DEPT OF HEALTH & WELFARE REG II AMH LEW. CLINIC

LEWISTON, ID
NPI1811025406
Entity TypeOrganization
Authorized ContactVICKI R. MALONE
Program Manager
208-799-4440
Organization Subpart ?No
Primary Taxonomy261QM0850X Clinic/Center, Adult Mental Health
Enumeration Date2007-03-02
Last Update Date2020-08-22
Business Address
IDAHO DEPT OF HEALTH & WELFARE REG II AMH LEW. CLINIC
1118 F ST
LEWISTON, ID 83501-1930
Phone number: 208-799-4440
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
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