Organization · Type 2 NPI
Idaho Dept of Health & Welfare Amh Clinic MH
Adult Mental Health Clinic/Center · Mountain Home, ID
NPI number
1760512644
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 |
|---|---|---|
| Adult Mental Health Clinic/Center Primary | 261QM0850X | None listed |
Adult 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 adults.
4 other providers at this address
- Idaho Behavioral Health, Inc.Family Medicine Physician Mountain Home, ID NPI 1053658138
- Idaho Dept of Health & Welfare Amh PSR MT HomeMental Health Clinic/Center (Including Community Mental Health Center) Mountain Home, ID NPI 1720118904
- Jaysa Marie Pilant, LMSWClinical Social Worker Mountain Home, ID NPI 1013425487
- Tiahna E. Fairbanks, BADevelopmental Therapist Mountain Home, ID NPI 1407217987
Other adult mental health clinic/center providers in Mountain Home
About NPI 1760512644
Idaho Dept of Health & Welfare Amh Clinic MH's National Provider Identifier is 1760512644, issued on Mar 7, 2007. The primary taxonomy on file is Adult Mental Health Clinic/Center (261QM0850X), and the practice location is in Mountain Home, ID. The record was last updated on Aug 22, 2020.