Priestley Mental Health Inc

NPI 1073660320 - Social Worker - 104100000X

NPI Details
NPI 1073660320
Enumeration Date 01/05/2007
Last Updated 08/07/2013
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name DAVID DAVID
Position OWNER DIRECTOR
Phone (208) 852-2370
Fax (208) 852-5570
Practice Location
75 S 1ST W
PRESTON ID, 83263-1259, US
Phone (208) 852-2370
Fax (208) 852-5570
Business Location
PO BOX 54
FRANKLIN ID, 83237-0054, US
Phone
Fax
Toxanomy
Taxonomy Code 104100000X
License State Idaho
License Number 26656
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According to our database, Priestley Mental Health Inc NPI is 1073660320, taxonomy code is 104100000X and license number is 26656, license state is located at Idaho. Priestley Mental Health Inc physically located at 75 S 1st W, Preston ID, 83263-1259. NPI Number 1033115704 has the healthcare provider type.

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1073660320 NPI number is provided on an as is basis without warranty of any kind. 1073660320 is maintained by the National Plan & Provider Enumeration System. The contents of Priestley Mental Health Inc are for informational purposes only.