EMALISSA BROOKE ANNE BALENTINE
Individual Provider (NPI-1)
Active
Respite Care, Respite Care, Mental Illness, Child
Provider Information
- NPI Number
1063364743- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 531 BRYDEN AVE, LEWISTON, ID, 835014438
- Phone
- (208) 798-1646
- Fax
- (208) 798-5568
Specialties & Taxonomies
Respite Care, Respite Care, Mental Illness, Child
Primary