NPI 1417199456
Cherry Gulch
Practice location
- Address
- 3770 E. Black Canyon Hwy, Emmett, ID 83617-0678
- Phone
- (208) 365-3437
- Fax
- (208) 365-7235
- Mailing address
- PO Box 678, Emmett, ID 83617-0678
Authorised official
- Name
- Andrew Dean Sapp
- Title
- Founder & President
- Phone
- (208) 365-3437
Registered specialties
Psychiatric Residential Treatment Facility
Primary
Registry record
- NPI
- 1417199456
- Entity type
- Organization
- NPI issued
- 6 Apr 2009
- Record last updated
- 6 Apr 2009
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.