IDAHO DEPT OF HEALTH & WELFARE ITP REGION 4

NPI # 

Practice Address:

1720 Westgate Dr , Suite B-2

Boise, ID, 83704-7164

Practice Phone:

208-334-0900

Practice Fax:

208-334-0926

Taxonomy Grouping:

Agencies

Taxonomy Classification:

Local Education Agency (LEA)

Taxonomy Code:

251300000X