| Northwest Behavioral Healthcare | |
|
2190 W Ironwood Center Dr Coeur D Alene ID 83814-2695 | |
| (208) 765-4509 | |
| (208) 765-2558 |
| Full Name | Northwest Behavioral Healthcare |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2190 W Ironwood Center Dr, Coeur D Alene, Idaho |
| Authorized Official Name and Position | Craig Richard Stempf (PSYCHOLOGIST) |
| Authorized Official Contact | 2087654509 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northwest Behavioral Healthcare 2190 W Ironwood Center Dr Coeur D Alene ID 83814-2695 Ph: (208) 765-4509 | Northwest Behavioral Healthcare 2190 W Ironwood Center Dr Coeur D Alene ID 83814-2695 Ph: (208) 765-4509 |
| NPI Number | 1104032689 |
|---|---|
| Provider Enumeration Date | 05/14/2007 |
| Last Update Date | 03/11/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104032689 | NPI | - | NPPES |
| 0035305 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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