Organization · Type 2 NPI
Innercept
Mental Illness Community Based Residential Treatment Facility · Coeur D Alene, ID
NPI number
1003086653
Active
Practice location
1115 Ironwood Drive, Suite A
Coeur D Alene, ID 83814-4936
Fax (208) 765-6972
Mailing address
12424 Wilshire Blvd Suite 800
Los Angeles, CA 90025
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Illness Community Based Residential Treatment Facility Primary | 320800000X | None listed |
Mental Illness Community Based Residential Treatment Facility: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
7 other providers at this address
- Northwest Psychiatric Associates PAPsychiatry Physician Coeur D Alene, ID NPI 1316023567
- Ellen Louise Jaeger, PHD LPPsychologist Coeur D Alene, ID NPI 1356435614
- Gary Louis Stanton, PhDPsychologist Coeur D Alene, ID NPI 1952495228
- George Jackson Ullrich, MDPsychiatry Physician Coeur D Alene, ID NPI 1881788149
- Jami Lynn Sturges, MPH RD LDRegistered Dietitian Coeur D Alene, ID NPI 1548357486
- Lisa Halstrom, LPCMental Health Counselor Coeur D' Alene, ID NPI 1104230549
- Nathan Trent Taggart, LMSWSocial Worker Coeur D Alene, ID NPI 1225284250
About NPI 1003086653
Innercept's National Provider Identifier is 1003086653, issued on Mar 10, 2008. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Coeur D Alene, ID. The record was last updated on May 26, 2023.