Organization
A NEW HOPE SOCIAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY STARK (BILLING CLERK)
(208) 667-6095
Entity
Organization
Contact information
Practice address
740 MCKINLEY AVE, KELLOGG, ID 83837-2693
(208) 783-0600
(208) 783-0192
Mailing address
202 E ANTON AVE, STE 206, COEUR D ALENE, ID 83815-3727
(208) 667-6095
(208) 667-6173
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
808335100
—
ID
05
—
808350000
—
ID
05
—
838349900
—
ID
Enumeration date
06/02/2009
Last updated
11/13/2009
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