Organization
WELLNESS ENHANCEMENT CENTER OF IDAHO INC.
Active
Other names
Psychiatry and Neurotherapy of Idaho
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT KEITH WYATT LCSW (PRESIDENT)
(208) 503-6298
Entity
Organization
Contact information
Practice address
1111 W IRONWOOD DR STE B, COEUR D ALENE, ID 83814-2604
(208) 664-1594
(208) 664-5867
Mailing address
1111 W IRONWOOD DR STE B, COEUR D ALENE, ID 83814-2604
(208) 664-1594
(208) 664-5867
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MHC-421
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
807823900
—
ID
Enumeration date
02/04/2014
Last updated
05/01/2025
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