Organization
PINECREST ACADEMY OF LEWISTON INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHERINE SUNDBERG (OFFICE MANAGER)
(208) 717-3855
Entity
Organization
Contact information
Practice address
1212 9TH AVE, LEWISTON, ID 83501-2584
(208) 717-3855
(208) 717-9475
Mailing address
1212 9TH AVE, LEWISTON, ID 83501-2584
(208) 717-3855
(208) 717-9475
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Enumeration date
12/05/2024
Last updated
12/10/2024
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