NPI 1154528099

Snake River Rehabilitation Counseling Services LLC

Organisation Case Management Agency Lewiston, ID

Practice location

Address: 1630 23rd Ave STE 301b, Lewiston, ID 83501-6357
Phone: (208) 743-5101
Fax: (208) 746-5282

Authorised official

Name: Victoria Lee Cunningham
Title: Office Manager
Phone: (208) 743-5101

Registered specialties

Case Management Agency Primary

Agencies Taxonomy 251B00000X

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Registry record

NPI: 1154528099
Entity type: Organization
NPI issued: 2 Jul 2007
Record last updated: 22 Aug 2020

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.