INNERCEPT is a community based residential treatment facility mental illness in Coeur D Alene, ID. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. INNERCEPT NPI is 1003086653. The provider is registered as an organization entity type.
The provider's business location address is:
1115 IRONWOOD DRIVE
SUITE A
COEUR D ALENE, ID
ZIP 83814-936
Phone: (208) 665-7178
Fax: (208) 765-6972
The provider's authorized official is Jonathan Mark Monroe .
The authorized official title is Cfo and has the following contact phone number (951) 334-2233.
The CLIA number assigned to this NPI record is 13D2290134 - other - residental treatement with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 3/10/2008 and was last updated on 5/26/2023.