Organization
TONIA PRICE, LMT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GENA WOODS (SECRETARY)
(208) 750-1802
Entity
Organization
Contact information
Practice address
312 MILLER ST, LEWISTON, ID 83501-1944
(208) 750-1802
(208) 750-1803
Mailing address
312 MILLER ST, LEWISTON, ID 83501-1944
(208) 750-1802
(208) 750-1803
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MAS2954
ID
Other
Enumeration date
01/24/2017
Last updated
01/24/2017
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