Organization · Type 2 NPI

Idaho Dept of Health & Welfare Reg 1 Amh PSR ST Maries

Mental Health Clinic/Center (Including Community Mental Health Center) · St. Maries, ID

NPI number 1144357369 Active

Practice location

222 S 7th St
St. Maries, ID 83861-1847

Fax (208) 245-7131

Mailing address

PO Box 248
St. Maries, ID 83861-0248

Specialties and licenses

TaxonomyCodeLicense
Mental Health Clinic/Center (Including Community Mental Health Center) Primary 261QM0801XNone listed

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About NPI 1144357369

Idaho Dept of Health & Welfare Reg 1 Amh PSR ST Maries's National Provider Identifier is 1144357369, issued on Feb 27, 2007. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in St. Maries, ID. The record was last updated on Aug 22, 2020.