Organization · Type 2 NPI

Idaho Dept of Health & Welfare Reg 2 CMH

Adolescent and Children Mental Health Clinic/Center · Moscow, ID

NPI number 1639476294 Active

Practice location

1350 Troy Highway
Moscow, ID 83843-3995

Specialties and licenses

TaxonomyCodeLicense
Adolescent and Children Mental Health Clinic/Center Primary 261QM0855XNone listed

Adolescent and Children Mental Health Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.

Another provider at this address

About NPI 1639476294

Idaho Dept of Health & Welfare Reg 2 CMH's National Provider Identifier is 1639476294, issued on Feb 17, 2011. The primary taxonomy on file is Adolescent and Children Mental Health Clinic/Center (261QM0855X), and the practice location is in Moscow, ID. The record was last updated on Feb 17, 2011.