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Organization
EAGLE RIVER PSYCHIATRY AND COUNSELING
Active
Organization
EAGLE RIVER PSYCHIATRY AND COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE CHENEY (BUSINESS MANAGER)
(208) 955-1601
Entity
Organization
Contact information
Practice address
1032 S BRIDGE WAY PL STE 100, EAGLE, ID 83616-6099
(208) 246-0123
Mailing address
1032 S BRIDGE WAY PL STE 100, EAGLE, ID 83616-6099
(208) 246-0123
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
06/28/2012
Last updated
06/28/2012
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