| Payette Counseling And Psychiatric Services | |
|
501 N 16th St 110 Payette ID 83661-2781 | |
| (208) 642-2600 | |
| (208) 642-6164 |
| Full Name | Payette Counseling And Psychiatric Services |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 501 N 16th St, Payette, Idaho |
| Authorized Official Name and Position | Michael Stewart Lee (OWNER) |
| Authorized Official Contact | 2083655445 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Payette Counseling And Psychiatric Services 501 N 16th St 110 Payette ID 83661-2781 Ph: (208) 642-2600 | Payette Counseling And Psychiatric Services 501 N 16th St 110 Payette ID 83661-2781 Ph: (208) 642-2600 |
| NPI Number | 1972805224 |
|---|---|
| Provider Enumeration Date | 11/18/2010 |
| Last Update Date | 11/18/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972805224 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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