| Powder Basin Associates, Inc | |
|
7905 N Meadowlark Way Suite C Coeur D Alene ID 83815-5041 | |
| (208) 762-3979 | |
| Not Available |
| Full Name | Powder Basin Associates, Inc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 7905 N Meadowlark Way, Coeur D Alene, Idaho |
| Authorized Official Name and Position | Lynn Moore (OWNER PRESIDENT) |
| Authorized Official Contact | 2082090535 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Powder Basin Associates, Inc 7905 N Meadowlark Way Suite C Coeur D Alene ID 83815-5041 Ph: (208) 762-3979 | Powder Basin Associates, Inc 7905 N Meadowlark Way Suite C Coeur D Alene ID 83815-5041 Ph: (208) 762-3979 |
| NPI Number | 1720289382 |
|---|---|
| Provider Enumeration Date | 05/30/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720289382 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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