IDAHO DEPT OF HEALTH & WELFARE REGION 4 CMH PSR BOISE

BOISE, ID
NPI1891825824
Entity TypeOrganization
Authorized ContactGINA WESTCOTT
Program Manager
208-334-0969
Organization Subpart ?No
Primary Taxonomy261QR0400X Clinic/Center, Rehabilitation
Enumeration Date2007-03-07
Last Update Date2020-08-22
Business Address
IDAHO DEPT OF HEALTH & WELFARE REGION 4 CMH PSR BOISE
1720 WESTGATE DR SUITE D
BOISE, ID 83704-7164
Phone number: 208-334-0792
Mailing Address
IDAHO DEPT OF HEALTH & WELFARE REGION 4 CMH PSR BOISE
1720 WESTGATE DR SUITE D
BOISE, ID 83704-7164
Phone number: 208-334-0792