| Full Name | |
|---|---|
| Speciality | Social Worker |
| Location | 609 Bank Street, Wallace, Idaho |
| Authorized Official Name and Position | Michelle Wood (OPERATIONS MANAGER) |
| Authorized Official Contact | 2082922188 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1417 N 4th Street Coeur D Alene ID 83814 Ph: (208) 292-2188 | 609 Bank Street Wallace ID 83873 Ph: (208) 556-0960 |
| NPI Number | 1548414519 |
|---|---|
| Provider Enumeration Date | 11/04/2008 |
| Last Update Date | 03/11/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548414519 | NPI | - | NPPES |
New Hope Clinic Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 518 Bank St, Suite 200, Wallace, ID 83873 Phone: 208-556-0960 Fax: 208-556-0970 | |