MENTAL WELLNESS CLINIC OF COEUR D ALENE INC

COEUR D ALENE, ID
NPI1871713925
Entity TypeOrganization
Authorized ContactKELLY LAGROU
Owner Program Manager
208-676-1003
Organization Subpart ?No
Primary Taxonomy251S00000X 
Enumeration Date2007-04-30
Last Update Date2017-11-22
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
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