IDAHO DEPT OF HEALTH & WELFARE REG 1 AMH PSR BONNERS FERRY is a mental health (including community mental health center) clinic center in Bonners Ferry, ID. IDAHO DEPT OF HEALTH & WELFARE REG 1 AMH PSR BONNERS FERRY NPI is 1376670091. The provider is registered as an organization entity type.
The provider's business location address is:
RT 4 6522 TAMARACK LN
BONNERS FERRY, ID
ZIP 83805-805
Phone: (208) 267-3187
Fax: (208) 267-3251
The provider's authorized official is Cora Jo Gussenhoven .
The authorized official title is Program Manager and has the following contact phone number (208) 769-1406.
The enumeration date for this NPI number is 2/28/2007 and was last updated on 8/22/2020.