IDAHO DEPT OF HEALTH & WELFARE REG 1 AMH CLINIC CDA is an adult mental health clinic center in Coeur D Alene, ID. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. IDAHO DEPT OF HEALTH & WELFARE REG 1 AMH CLINIC CDA NPI is 1831226547. The provider is registered as an organization entity type.
The provider's business location address is:
2195 IRONWOOD CT
COEUR D ALENE, ID
ZIP 83814-628
Phone: (208) 769-1406
Fax: (208) 769-1430
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.