Mental Wellness Clinic Of Coeur D Alene Inc in Coeur D Alene - Community/behavioral Health
Mental Wellness Clinic Of Coeur D Alene Inc - NPI 1871713925
Mental Wellness Clinic Of Coeur D Alene Inc is a Community/behavioral Health in Coeur D Alene, Idaho. Mental Wellness Clinic Of Coeur D Alene Inc practices all healthcare services and medical treatments related to Community/behavioral Health. The NPI Number for Mental Wellness Clinic Of Coeur D Alene Inc is 1871713925. The last update date is 2017-11-22.
Mental Wellness Clinic Of Coeur D Alene Inc's current location address is 500 N Government Way, Coeur D Alene, Idaho. You can contact this provider via phone number 2086761003 and fax number 2086761009. The mailing address for Mental Wellness Clinic Of Coeur D Alene Inc is 500 N Government Way, Coeur D Alene, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mental Wellness Clinic Of Coeur D Alene Inc |
|---|---|
| Address | 500 N Government Way, Coeur D Alene, Idaho |
| Phone Number | 2086761003 |
| Fax Number | 2086761009 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER PROG |
|---|---|
| Authorized Official Name | Lagrou Kelly |
| Credentials | BA |
| Telephone Number | 2086761003 |
NPI Number Detail
| NPI Number | 1871713925 |
|---|---|
| Provider Enumeration Date | 2007-04-30 |
| Last Updated Date | 2017-11-22 |
Provider Mailing Address Detail
| Address | 500 N Government Way |
|---|---|
| City | Coeur D Alene |
| State | Idaho (ID) |
| Post Code | 838142913 |
| Phone Number | 2086761003 |
| Fax Number | 2086761009 |
Provider's Primary Taxonomy Detail
| Speciality | Community/behavioral Health |
|---|---|
| Taxonomy | 251S00000X |
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Definition: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those dis |
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What is the unique 10-digit identifier code issued to Mental Wellness Clinic Of Coeur D Alene Inc by the Centers for Medicare & Medicaid Services?
The Mental Wellness Clinic Of Coeur D Alene Inc has been assigned the NPI (National Provider Identifier) 1871713925 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Mental Wellness Clinic Of Coeur D Alene Inc's physical address?
The Mental Wellness Clinic Of Coeur D Alene Inc is physically located at 500 N Government Way, in the city of Coeur D Alene, ID, with the postal code 838142913.
What is Mental Wellness Clinic Of Coeur D Alene Inc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Mental Wellness Clinic Of Coeur D Alene Inc is Community/behavioral Health, and the taxonomy code that categorizes this field of expertise is 251S00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1871713925 to Mental Wellness Clinic Of Coeur D Alene Inc?
The Centers for Medicare & Medicaid Services assigned the 1871713925 to Mental Wellness Clinic Of Coeur D Alene Inc on 2007-04-30.
As of what date were the details related to Mental Wellness Clinic Of Coeur D Alene Inc most recently updated or revised?
The information pertaining to Mental Wellness Clinic Of Coeur D Alene Inc, including its address, specialty, and other relevant details, was last updated or revised on 2017-11-22.