NPI 1043054075

Regenerize Psychiatry PLLC

Organisation Mental Health Clinic/Center (Including Community Mental Health Center) Sandpoint, ID

Practice location

Address: 605 S Olive Ave, Sandpoint, ID 83864-1154
Phone: (209) 677-7747

Authorised official

Name: Radley Peterson
Title: Owner
Phone: (208) 899-5997

Registered specialties

Mental Health Clinic/Center (Including Community Mental Health Center) Primary

Ambulatory Health Care Facilities Taxonomy 261QM0801X

Other Clinic/Center providers in Idaho →

Registry record

NPI: 1043054075
Entity type: Organization
NPI issued: 24 Jun 2024
Record last updated: 27 Oct 2024

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.