POWDER BASIN ASSOCAITES INC NPI 1639370299

NPI Information

POWDER BASIN ASSOCAITES, INC is a mental health counselor in Coeur D Alene, ID. POWDER BASIN ASSOCAITES, INC NPI is 1639370299. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7905 N MEADOWLARK WAY
SUITE C
COEUR D ALENE, ID
ZIP 83815-041
Phone: (208) 762-3979

The provider's authorized official is Lynn Moore .
The authorized official title is Owner President and has the following contact phone number (208) 209-0535.

The enumeration date for this NPI number is 5/30/2007 and was last updated on 8/22/2020.

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:

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