Organization
INSPIRED BY YOU, LLC
Active
Organization
INSPIRED BY YOU, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATIE MARY MARET (CLINICAL SUPERVISOR)
(208) 818-1288
Entity
Organization
Contact information
Practice address
411 N 15TH ST, COEUR D ALENE, ID 83814-5476
(208) 818-1288
Mailing address
303 S AERIE CT, POST FALLS, ID 83854-6870
(208) 818-1288
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
DDA-5372
ID
Other
Enumeration date
05/22/2018
Last updated
05/22/2018
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