Organization · Type 2 NPI
Jennda LLC
Substance Use Disorder Rehabilitation Clinic/Center · Coeur D Alene, ID
NPI number
1356968895
Active
Practice location
4305 N Royal St
Coeur D Alene, ID 83815-9237
Mailing address
PO Box 19604
Spokane, WA 99219-0034
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center Primary | 261QR0405X | None listed |
Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...
Other substance use disorder rehabilitation clinic/center providers in Coeur D Alene
About NPI 1356968895
Jennda LLC's National Provider Identifier is 1356968895, issued on Jul 1, 2020. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Coeur D Alene, ID. The record was last updated on Jul 1, 2020.