Organization
SAFE WATERS MENTAL RECOVERY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN M SAMSEL LCSW (OWNER)
(509) 599-4720
Entity
Organization
Contact information
Practice address
2101 N LAKEWOOD DR STE 226, COEUR D ALENE, ID 83814-2473
(509) 559-4720
Mailing address
2101 N LAKEWOOD DR STE 226, COEUR D ALENE, ID 83814-2473
(509) 559-4720
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
W198609
ID
Other
Enumeration date
03/30/2018
Last updated
03/30/2018
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