Organization
NORTHWEST CHILDREN'S HOME
Active
Other names
Brighter Futures Outpatient Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER SKEELS (BUSINESS OFFICE MANAGER)
(208) 743-9404
Entity
Organization
Contact information
Practice address
602 13TH ST, LEWISTON, ID 83501-2586
(208) 746-3388
(208) 413-6772
Mailing address
419 22ND AVE, LEWISTON, ID 83501-3812
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
02/06/2020
Last updated
02/06/2020
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