Organization
CHAROLAIS CARE VIII, INC
Active
Organization
CHAROLAIS CARE VIII, INC
Active
Other names
Mountain View Center for Geriatric Psychiatry
Organization subpart
No
Provider details
NPI number
Authorized official
CARLEEN WELLARD (EXECUTIVE ASSISTANT)
(208) 221-2019
Entity
Organization
Contact information
Practice address
500 POLK ST E, KIMBERLY, ID 83341-1618
(208) 423-5591
(208) 423-5651
Mailing address
2043 E CENTER ST, SUITE 212, POCATELLO, ID 83201-3300
(208) 233-4673
(208) 233-4750
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
—
—
Other
Enumeration date
07/01/2009
Last updated
10/26/2009
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