NPI 1003086653

Innercept

Organisation Mental Illness Community Based Residential Treatment Facility Coeur D Alene, ID

Practice location

Address: 1115 Ironwood Drive Suite a, Coeur D Alene, ID 83814-4936
Phone: (208) 665-7178
Fax: (208) 765-6972
Mailing address: 12424 Wilshire Blvd Suite 800, Los Angeles, CA 90025

Authorised official

Name: Jonathan Mark Monroe
Title: Cfo
Phone: (951) 334-2233

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320800000X

Other Community Based Residential Treatment Facility, Mental Illness providers in Idaho →

Registry record

NPI: 1003086653
Entity type: Organization
NPI issued: 10 Mar 2008
Record last updated: 26 May 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.