STATE OF IDAHO DEPARTMENT OF HEALTH AND WELFARE
Organization (NPI-2)
Active
Psychiatric Hospital
Provider Information
- NPI Number
1992789101- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 700 EAST ALICE BOX 400, BLACKFOOT, ID, 83221
- Phone
- (208) 785-1200
- Fax
- (208) 785-8518
Specialties & Taxonomies
Psychiatric Hospital
Primary License: ID ##17