| Children's Village Incorporated | |
|
1350 W Hanley Ave Coeur D Alene ID 83815-8638 | |
| (208) 667-1189 | |
| Not Available |
| Full Name | Children's Village Incorporated |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1350 W Hanley Ave, Coeur D Alene, Idaho |
| Authorized Official Name and Position | Rosa A. Mettler (CHIEF PROGRAM OFFICER) |
| Authorized Official Contact | 2086671189 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Children's Village Incorporated 1350 W Hanley Ave Coeur D Alene ID 83815-8638 Ph: () - | Children's Village Incorporated 1350 W Hanley Ave Coeur D Alene ID 83815-8638 Ph: (208) 667-1189 |
| NPI Number | 1609354109 |
|---|---|
| Provider Enumeration Date | 08/06/2018 |
| Last Update Date | 08/06/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609354109 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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