Organization
INTEGRATED COMMUNITY SUPPORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELINA C ESPINOZA (OWNER)
(208) 597-6462
Entity
Organization
Contact information
Practice address
53 BEARFOOT HOLW, SANDPOINT, ID 83864-4908
(208) 597-6462
Mailing address
53 BEARFOOT HOLW, SANDPOINT, ID 83864-4908
(208) 597-6462
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/13/2025
Last updated
02/13/2025
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