NPI 1174820401

Idaho Dept of Health & Welfare Reg 2 Amh

Organisation Adult Mental Health Clinic/Center Grangeville, ID

Practice location

Address: 216 S C St, Grangeville, ID 83530-1342
Phone: (208) 983-2300
Mailing address: PO Box 548, Grangeville, ID 83530-0548

Authorised official

Name: Vicki Malone
Title: Program Manager
Phone: (208) 799-4440

Registered specialties

Adult Mental Health Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QM0850X

Other Clinic/Center providers in Idaho →

Registry record

NPI: 1174820401
Entity type: Organization
NPI issued: 23 Feb 2011
Record last updated: 23 Feb 2011

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.