NPI 1003180118

Restored Paths

Organisation Community/Behavioral Health Agency Coeur D Alene, ID

Practice location

Address: 109 E Harrison Ave, Coeur D Alene, ID 83814-3238
Phone: (208) 664-8347
Mailing address: 2900 N Government Way # 136, Coeur D Alene, ID 83815-3751

Authorised official

Name: Jennifer Romero
Title: Owner
Phone: (208) 664-8347

Registered specialties

Community/Behavioral Health Agency Primary

Agencies Taxonomy 251S00000X

Other Community/Behavioral Health providers in Idaho →

Registry record

NPI: 1003180118
Entity type: Organization
NPI issued: 7 Mar 2012
Record last updated: 21 Nov 2012

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.