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1871713925
MENTAL WELLNESS CLINIC OF COEUR D ALENE INC
COEUR D ALENE, ID
NPI
1871713925
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Entity Type
Organization
Authorized Contact
KELLY LAGROU
Owner Program Manager
208-676-1003
Organization Subpart ?
No
Primary Taxonomy
251S00000X
Enumeration Date
2007-04-30
Last Update Date
2017-11-22
Business Address
MENTAL WELLNESS CLINIC OF COEUR D ALENE INC
1105 W IRONWOOD DR
COEUR D ALENE, ID 83814-2613
Phone number: 208-676-1003
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Mailing Address
MENTAL WELLNESS CLINIC OF COEUR D ALENE INC
500 N GOVERNMENT WAY SUITE 100
COEUR D ALENE, ID 83814-2913
Phone number: 208-676-1003
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