Cdhd Behavioral Consultants | |
129 West Third St. Moscow ID 83843-0000 | |
(208) 885-3771 | |
(208) 885-3628 |
Full Name | Cdhd Behavioral Consultants |
---|---|
Speciality | Community/behavioral Health |
Location | 129 West Third St., Moscow, Idaho |
Authorized Official Name and Position | Susan House (MEDICAID BILLING) |
Authorized Official Contact | 2088853771 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Cdhd Behavioral Consultants 129 West Third St. Moscow ID 83843-0000 Ph: (208) 885-3771 | Cdhd Behavioral Consultants 129 West Third St. Moscow ID 83843-0000 Ph: (208) 885-3771 |
NPI Number | 1649390998 |
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Provider Enumeration Date | 03/30/2007 |
Last Update Date | 06/12/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1649390998 | NPI | - | NPPES |
002821300 | Medicaid | ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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