Organization · Type 2 NPI

Northwest Children's Home

Emotionally Disturbed Childrens' Residential Treatment Facility · Lewiston, ID

NPI number 1245368224 Active

Practice location

419 22nd Ave
Lewiston, ID 83501-3812

Other practice locations

  • 1111 S Orchard St, Suite 156, Boise, ID 83705-1966 · (208) 336-2308

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XLCPC-2754 (ID)
Emotionally Disturbed Childrens' Residential Treatment Facility Primary 322D00000XNone listed

Emotionally Disturbed Childrens' Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

7 other providers at this address

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About NPI 1245368224

Northwest Children's Home's National Provider Identifier is 1245368224, issued on Mar 1, 2007. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Lewiston, ID. The record was last updated on Feb 6, 2020.