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Organization
NORTHWEST CHILDREN'S HOME
Active
Organization
NORTHWEST CHILDREN'S HOME
Active
Parent organization
NORTHWEST CHILDREN'S HOME, INC
Other names
Canyon View
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTHWEST CHILDREN'S HOME, INC
Authorized official
JENNIFER SKEELS (BOOKKEEPER)
(208) 743-9404
Entity
Organization
Contact information
Practice address
419 22ND AVE, LEWISTON, ID 83501-3812
(208) 746-3388
Mailing address
419 22ND AVE, LEWISTON, ID 83501-3812
(208) 746-3388
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
—
NULL
2084P0800X
Psychiatry Physician
—
—
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
NULL
Other
Enumeration date
06/21/2024
Last updated
08/26/2024
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