IDAHO DEPT OF HEALTH & WELFARE REG 1 AMH PSR CDA is a mental health (including community mental health center) clinic center in Coeur D Alene, ID. IDAHO DEPT OF HEALTH & WELFARE REG 1 AMH PSR CDA NPI is 1023145893. 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 2/27/2007 and was last updated on 8/22/2020.