OrganizationActive
Idaho Dept of Health & Welfare Itp Region 2
NPI 1053450221 · Early Intervention Provider Agency · Lewiston, ID
Provider details
- NPI number
- 1053450221
- Entity type
- Organization
- Primary specialty
- Early Intervention Provider AgencyAgencies
- Organization subpart
- No
- Authorized official
- Mary Jones, Program Manager(208) 334-5523
Specialties & taxonomies
Agencies
- Local Education Agency (LEA)251300000X
Agencies
Practice location
2604 16th Ave
Lewiston, ID 83501-3539
Phone: (208) 799-3460
Fax: (208) 799-3466
Approximate (ZIP-level) locationGet directions
Mailing address
1118 F St
Lewiston, ID 83501-1930
Registry dates
- Enumerated
- 2007-02-05
- Last updated
- 2013-08-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.