Organization
SPECTRUM CONNECTION BEHAVIORAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA D RUGULEISKI LCSW (OWNER/PROVIDER)
(208) 261-2740
Entity
Organization
Contact information
Practice address
1315 HIGHWAY 2 STE 4, SANDPOINT, ID 83864-2724
(208) 261-2740
(208) 625-2062
Mailing address
1315 HIGHWAY 2 STE 4, SANDPOINT, ID 83864-2724
(208) 261-2740
(208) 625-2062
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
806106400
—
ID
Enumeration date
01/13/2023
Last updated
01/09/2024
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