Eastport Psr, L.l.p.

NPI 1083831556 - Community/Behavioral Health - 251S00000X

NPI Details
NPI 1083831556
Enumeration Date 04/19/2007
Last Updated 07/09/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name ANNA LEE ANNA
Position PSYCHOSOCIAL REHABILITATION SPECIAL
Phone (208) 946-3604
Fax (208) 267-1681
Practice Location
7222 MAIN STREET
BONNERS FERRY ID, 83805, US
Phone (208) 946-3604
Fax (208) 267-1681
Business Location
PO BOX 1093
BONNERS FERRY ID, 83805-1093, US
Phone (208) 946-3604
Fax (208) 267-1681
Toxanomy
Taxonomy Code 251S00000X
License State
License Number
Remove 1083831556 NPI Number
 

According to our database, Eastport Psr, L.l.p. NPI is 1083831556, taxonomy code is 251S00000X Eastport Psr, L.l.p. physically located at 7222 Main Street, Bonners Ferry ID, 83805. NPI Number 1033115704 has the healthcare provider type.

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1083831556 NPI number is provided on an as is basis without warranty of any kind. 1083831556 is maintained by the National Plan & Provider Enumeration System. The contents of Eastport Psr, L.l.p. are for informational purposes only.