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Organization
NORTHWEST CHILDREN'S HOME
Active
Organization
NORTHWEST CHILDREN'S HOME
Active
Other names
Community Based Counseling, Residential Facility
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNY SKEELS (BUSINESS OFFICE MANGER)
(208) 743-9404
Entity
Organization
Contact information
Practice address
419 22ND AVE, LEWISTON, ID 83501-3812
(208) 743-9404
Mailing address
419 22ND AVE, LEWISTON, ID 83501-3812
(208) 743-9404
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LCPC-2754
ID
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
NULL
Other
Enumeration date
03/01/2007
Last updated
02/06/2020
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