| Lookout Behavioral Health Llc | |
|
7905 N Meadowlark Way Ste A Coeur D Alene ID 83815-5041 | |
| (208) 762-2500 | |
| Not Available |
| Full Name | Lookout Behavioral Health Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 7905 N Meadowlark Way Ste A, Coeur D Alene, Idaho |
| Authorized Official Name and Position | Graham M Christensen (MEMBER) |
| Authorized Official Contact | 2087040380 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lookout Behavioral Health Llc Po Box 2792 Hayden ID 83835-2792 Ph: (208) 762-9856 | Lookout Behavioral Health Llc 7905 N Meadowlark Way Ste A Coeur D Alene ID 83815-5041 Ph: (208) 762-2500 |
| NPI Number | 1972135507 |
|---|---|
| Provider Enumeration Date | 02/11/2020 |
| Last Update Date | 02/11/2020 |
| Certification Date | 02/11/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972135507 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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