Organization
FOUR RIVERS MENTAL HEALTH, INC.
Active
Organization
FOUR RIVERS MENTAL HEALTH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISSIE A MUNSON LSW (PRESIDENT)
(208) 454-2766
Entity
Organization
Contact information
Practice address
1103 BLAINE ST, CALDWELL, ID 83605-3835
(208) 454-2766
(208) 454-2771
Mailing address
1103 BLAINE ST, CALDWELL, ID 83605-3835
(208) 454-2766
(208) 454-2771
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
LSW2488
ID
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
LSW2488
ID
Other
Enumeration date
04/02/2007
Last updated
09/11/2025
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