| Mental Wellness Clinic Of Coeur D Alene | |
|
1105 W Ironwood Dr Coeur D Alene ID 83814-2613 | |
| (208) 676-1003 | |
| (208) 676-1009 |
| Full Name | Mental Wellness Clinic Of Coeur D Alene |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1105 W Ironwood Dr, Coeur D Alene, Idaho |
| Authorized Official Name and Position | Kelly Lagrou (OWNER) |
| Authorized Official Contact | 2086761003 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mental Wellness Clinic Of Coeur D Alene 1105 W Ironwood Dr Coeur D Alene ID 83814-2613 Ph: (208) 676-1003 | Mental Wellness Clinic Of Coeur D Alene 1105 W Ironwood Dr Coeur D Alene ID 83814-2613 Ph: (208) 676-1003 |
| NPI Number | 1629429782 |
|---|---|
| Provider Enumeration Date | 06/29/2016 |
| Last Update Date | 06/29/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629429782 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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