Organization
HOPE REVIVED COMPREHENSIVE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTOINETTE WILTON LCSW (MENTAL HEALTH COUNSELOR)
(208) 446-7306
Entity
Organization
Contact information
Practice address
417 N HENRY ST STE 1, POST FALLS, ID 83854-6436
(208) 215-6976
Mailing address
417 N HENRY ST STE 1, POST FALLS, ID 83854-6436
(208) 889-9240
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/12/2025
Last updated
02/05/2026
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