IDAHO DEPT OF HEALTH & WELFARE REG 2 CMH

NPI # 

Practice Address:

1118 F St , Po Drawer B

Lewiston, ID, 83501-1930

Practice Phone:

208-799-4440

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Adolescent and Children Mental Health

Taxonomy Code:

261QM0855X