NPI 1376763474

Mental Wellness Clinic of Coeur D Alene

Organisation Specialist Coeur D Alene, ID

Practice location

Address: 500 N Government Way Suite 100, Coeur D Alene, ID 83814-2913
Phone: (208) 676-1003
Fax: (208) 676-1009

Authorised official

Name: Kelly Lagrou
Title: Owner Program Manager
Phone: (208) 676-1003

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X

Other Specialist providers in Idaho →

Registry record

NPI: 1376763474
Entity type: Organization
NPI issued: 30 Apr 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.