NPI 1720118904

Idaho Dept of Health & Welfare Amh Psr Mt Home

Organisation Mental Health Clinic/Center (Including Community Mental Health Center) Mountain Home, ID

Practice location

Address: 2420 American Legion Blvd, Mountain Home, ID 83647-3146
Phone: (208) 587-9061
Fax: (208) 587-5024
Mailing address: 1720 Westgate Dr Suite B-1, Boise, ID 83704-7164

Authorised official

Name: Gina Westcott
Title: Program Manager
Phone: (208) 334-0969

Registered specialties

Mental Health Clinic/Center (Including Community Mental Health Center) Primary

Ambulatory Health Care Facilities Taxonomy 261QM0801X

Other Clinic/Center providers in Idaho →

Registry record

NPI: 1720118904
Entity type: Organization
NPI issued: 6 Mar 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.