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IDAHO DEPT OF HEALTH & WELFARE AMH PSR MT HOME

Organization (NPI-2) Active

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

Provider Information

NPI Number
1720118904
Provider Type
Organization / Facility (NPI-2)
Status
Active

Contact & Location

Address
2420 AMERICAN LEGION BLVD, MOUNTAIN HOME, ID, 836473146
Phone
(208) 587-9061
Fax
(208) 587-5024

Specialties & Taxonomies

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

All Addresses

MAILING

1720 WESTGATE DR SUITE B-1

BOISE, ID, 837047164

(208) 334-0894

LOCATION

2420 AMERICAN LEGION BLVD

MOUNTAIN HOME, ID, 836473146

(208) 587-9061