Whalio Doctors

NPI 1568758720

Daybreak Canyon LLC

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Kellogg, ID

Practice location

Address
1229 Country Club Rd., Kellogg, ID 83837
Phone
(208) 784-1433
Fax
(877) 580-3806

Authorised official

Name
Laurence D McArthur
Title
Member, Ceo
Phone
(208) 312-4117

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 322D00000X Licence 31306 (ID)

Registry record

NPI
1568758720
Entity type
Organization
NPI issued
24 Jun 2011
Record last updated
18 Mar 2016

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.