Organization
IDAHO DEPT HEALTH AND WELFARE
Active
Other names
Region II Behavioral Health
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JOYCE LYONS PH.D. (BEHAVIORAL HEALTH PROGRAM MANAGER)
(208) 799-4440
Entity
Organization
Contact information
Practice address
1350 TROY RD, MOSCOW, ID 83843-3995
(208) 882-0562
(208) 882-8575
Mailing address
1350 TROY RD, MOSCOW, ID 83843-3995
(208) 882-0562
(208) 882-8575
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
6278
ID
Other
Enumeration date
08/01/2016
Last updated
08/01/2016
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