Organization
IDAHO PSYCHIATRIC INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATT F SMITH (CHEIF EXECUTIVE OFFICER)
(208) 529-4300
Entity
Organization
Contact information
Practice address
1675 CURLEW DR, AMMON, ID 83406-4718
(208) 529-4300
(208) 529-1627
Mailing address
1675 CURLEW DR, AMMON, ID 83406-4718
(208) 529-4300
(208) 529-1627
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/23/2007
Last updated
08/23/2007
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