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Organization
VALLEY VISTA CARE CORPORATION
Active
Organization
VALLEY VISTA CARE CORPORATION
Active
Other names
Vista Outreach - Mental Health Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
GAIL MILLS (CORPORATE COMPLIANCE MANAGER)
(208) 245-4576
Entity
Organization
Contact information
Practice address
127 S 7TH ST, ST MARIES, ID 83861-1801
(208) 245-1920
(208) 245-9206
Mailing address
820 ELM ST, ST MARIES, ID 83861-2119
(208) 245-4576
(208) 245-2138
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
11/29/2006
Last updated
08/22/2020
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