Organization
CORNERSTONE WHOLE HEALTHCARE ORGANIZATION, INC.
Active
Other names
C-WHO, Idaho Health Neighborhood Center
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER YTURRIONDOBEITIA DBH, MSW (CEO)
(208) 899-9012
Entity
Organization
Contact information
Practice address
824 S DIAMOND ST, NAMPA, ID 83686-5960
(208) 606-0396
Mailing address
11485 PAYETTE HEIGHTS RD, PAYETTE, ID 83661-5012
(208) 899-9012
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020256
—
ID
Enumeration date
06/17/2022
Last updated
03/13/2023
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