| Esgw Behavioral Health | |
|
524 S 9th Ave Ste 103 Caldwell ID 83605-5072 | |
| (208) 454-8555 | |
| (208) 454-8828 |
| Full Name | Esgw Behavioral Health |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 524 S 9th Ave Ste 103, Caldwell, Idaho |
| Authorized Official Name and Position | Mark Sherman (CFO) |
| Authorized Official Contact | 4067713762 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Esgw Behavioral Health 425 1st Ave N Great Falls MT 59401-2507 Ph: (406) 771-3754 | Esgw Behavioral Health 524 S 9th Ave Ste 103 Caldwell ID 83605-5072 Ph: (208) 454-8555 |
| NPI Number | 1558706945 |
|---|---|
| Provider Enumeration Date | 04/30/2013 |
| Last Update Date | 04/22/2024 |
| Certification Date | 04/22/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558706945 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Idaho) | Primary |
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