Organization · Type 2 NPI

Idaho Dept of Health & Welfare Reg II CMH Moscow

Rehabilitation Clinic/Center · Moscow, ID

NPI number 1720116551 Active

Practice location

1350 Troy Hwy
Moscow, ID 83543-3995

Fax (208) 882-8575

Specialties and licenses

TaxonomyCodeLicense
Rehabilitation Clinic/Center Primary 261QR0400XNone listed

Rehabilitation Clinic/Center: Definition to come...

About NPI 1720116551

Idaho Dept of Health & Welfare Reg II CMH Moscow's National Provider Identifier is 1720116551, issued on Mar 1, 2007. The primary taxonomy on file is Rehabilitation Clinic/Center (261QR0400X), and the practice location is in Moscow, ID. The record was last updated on Aug 22, 2020.