Organization · Type 2 NPI
Idaho Dept of Health & Welfare Reg 6 Amh PSR Pres
Mental Health Clinic/Center (Including Community Mental Health Center) · Preston, ID
NPI number
1275664583
Active
Practice location
223 N State St
Preston, ID 83263-1140
Fax (208) 852-2136
Mailing address
421 Memorial Dr
Pocatello, ID 83201-4008
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | None listed |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
Other mental health clinic/center (including community mental health center) providers in Preston
About NPI 1275664583
Idaho Dept of Health & Welfare Reg 6 Amh PSR Pres's National Provider Identifier is 1275664583, issued on Mar 8, 2007. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Preston, ID. The record was last updated on Aug 22, 2020.