Organization · Type 2 NPI
Idaho Dept of Health & Welfare Amh PSR MT Home
Mental Health Clinic/Center (Including Community Mental Health Center) · Mountain Home, ID
NPI number
1720118904
Active
Practice location
2420 American Legion Blvd
Mountain Home, ID 83647-3146
Fax (208) 587-5024
Mailing address
1720 Westgate Dr, Suite B-1
Boise, ID 83704-7164
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...
4 other providers at this address
- Idaho Behavioral Health, Inc.Family Medicine Physician Mountain Home, ID NPI 1053658138
- Idaho Dept of Health & Welfare Amh Clinic MHAdult Mental Health Clinic/Center Mountain Home, ID NPI 1760512644
- Jaysa Marie Pilant, LMSWClinical Social Worker Mountain Home, ID NPI 1013425487
- Tiahna E. Fairbanks, BADevelopmental Therapist Mountain Home, ID NPI 1407217987
Other mental health clinic/center (including community mental health center) providers in Mountain Home
About NPI 1720118904
Idaho Dept of Health & Welfare Amh PSR MT Home's National Provider Identifier is 1720118904, issued on Mar 6, 2007. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Mountain Home, ID. The record was last updated on Aug 22, 2020.