Organization · Type 2 NPI

Idaho Dept of Health & Welfare Reg 1 Amh PSR Bonners Ferry

Mental Health Clinic/Center (Including Community Mental Health Center) · Bonners Ferry, ID

NPI number 1376670091 Active

Practice location

Rt 4 6522 Tamarack Ln
Bonners Ferry, ID 83805-9805

Fax (208) 267-3251

Specialties and licenses

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

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

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About NPI 1376670091

Idaho Dept of Health & Welfare Reg 1 Amh PSR Bonners Ferry's National Provider Identifier is 1376670091, issued on Feb 28, 2007. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Bonners Ferry, ID. The record was last updated on Aug 22, 2020.