| Safe Waters Mental Recovery Pllc | |
|
2101 N Lakewood Dr Ste 226 Coeur D Alene ID 83814-2473 | |
| (509) 559-4720 | |
| Not Available |
| Full Name | Safe Waters Mental Recovery Pllc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2101 N Lakewood Dr Ste 226, Coeur D Alene, Idaho |
| Authorized Official Name and Position | Kathleen M Samsel (OWNER) |
| Authorized Official Contact | 5095994720 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Safe Waters Mental Recovery Pllc 2101 N Lakewood Dr Ste 226 Coeur D Alene ID 83814-2473 Ph: (509) 559-4720 | Safe Waters Mental Recovery Pllc 2101 N Lakewood Dr Ste 226 Coeur D Alene ID 83814-2473 Ph: (509) 559-4720 |
| NPI Number | 1992200901 |
|---|---|
| Provider Enumeration Date | 03/30/2018 |
| Last Update Date | 03/30/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992200901 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | W198609 (Idaho) | Primary |
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