| North Idaho Treatment Associates | |
|
302 N 5th St Coeur D Alene ID 83814-2814 | |
| (208) 664-3282 | |
| Not Available |
| Full Name | North Idaho Treatment Associates |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 302 N 5th St, Coeur D Alene, Idaho |
| Authorized Official Name and Position | Thomas John Hearn (OWNER PRESIDENT) |
| Authorized Official Contact | 2086643282 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| North Idaho Treatment Associates 302 N 5th St Coeur D Alene ID 83814-2814 Ph: (208) 664-3282 | North Idaho Treatment Associates 302 N 5th St Coeur D Alene ID 83814-2814 Ph: (208) 664-3282 |
| NPI Number | 1144396649 |
|---|---|
| Provider Enumeration Date | 11/27/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144396649 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LCSW 403 (Idaho) | Primary |
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