| Mountain Mental Health | |
|
78 N Main St Unit 208 Driggs ID 83422-5141 | |
| (307) 699-0489 | |
| Not Available |
| Full Name | Mountain Mental Health |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 78 N Main St Unit 208, Driggs, Idaho |
| Authorized Official Name and Position | Charlotte P. Diprisco (THERAPIST) |
| Authorized Official Contact | 3076990489 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mountain Mental Health 183 Abby Loop Unit 15 Victor ID 83455-1309 Ph: (307) 699-0489 | Mountain Mental Health 78 N Main St Unit 208 Driggs ID 83422-5141 Ph: (307) 699-0489 |
| NPI Number | 1124716261 |
|---|---|
| Provider Enumeration Date | 04/26/2023 |
| Last Update Date | 04/26/2023 |
| Certification Date | 04/26/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124716261 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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