| Eagle River Psychiatry And Counseling | |
|
1032 S Bridge Way Pl Ste 100 Eagle ID 83616-6099 | |
| (208) 246-0123 | |
| Not Available |
| Full Name | Eagle River Psychiatry And Counseling |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1032 S Bridge Way Pl Ste 100, Eagle, Idaho |
| Authorized Official Name and Position | Stephanie Cheney (BUSINESS MANAGER) |
| Authorized Official Contact | 2089551601 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eagle River Psychiatry And Counseling 1032 S Bridge Way Pl Ste 100 Eagle ID 83616-6099 Ph: (208) 246-0123 | Eagle River Psychiatry And Counseling 1032 S Bridge Way Pl Ste 100 Eagle ID 83616-6099 Ph: (208) 246-0123 |
| NPI Number | 1770847311 |
|---|---|
| Provider Enumeration Date | 06/28/2012 |
| Last Update Date | 06/28/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770847311 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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