| Restored Paths | |
|
109 E Harrison Ave Coeur D Alene ID 83814-3238 | |
| (208) 664-8347 | |
| Not Available |
| Full Name | Restored Paths |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 109 E Harrison Ave, Coeur D Alene, Idaho |
| Authorized Official Name and Position | Jennifer Romero (OWNER) |
| Authorized Official Contact | 2086648347 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Restored Paths 2900 N Government Way # 136 Coeur D Alene ID 83815-3751 Ph: () - | Restored Paths 109 E Harrison Ave Coeur D Alene ID 83814-3238 Ph: (208) 664-8347 |
| NPI Number | 1003180118 |
|---|---|
| Provider Enumeration Date | 03/07/2012 |
| Last Update Date | 11/21/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003180118 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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