MENTAL WELLNESS CLINIC OF COEUR D ALENE NPI 1598116659

NPI Information

MENTAL WELLNESS CLINIC OF COEUR D ALENE is a peer specialist in Coeur D Alene, ID. The provider is individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. MENTAL WELLNESS CLINIC OF COEUR D ALENE NPI is 1598116659. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1105 W IRONWOOD DR
COEUR D ALENE, ID
ZIP 83814-613
Phone: (208) 964-9258
Fax: (208) 676-1009

The provider's authorized official is Brandi Meeks .
The authorized official title is Administrator and has the following contact phone number (208) 964-9258.

The enumeration date for this NPI number is 6/29/2016 and was last updated on 6/29/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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