OrganizationActive
Idaho Dept of Health & Welfare Reg 2 Amh
NPI 1174820401 · Adult Mental Health Clinic/Center · Grangeville, ID
Provider details
- NPI number
- 1174820401
- Entity type
- Organization
- Primary specialty
- Adult Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Vicki Malone, Program Manager(208) 799-4440
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
216 S C St
Grangeville, ID 83530-1342
Phone: (208) 983-2300
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 548
Grangeville, ID 83530-0548
Registry dates
- Enumerated
- 2011-02-23
- Last updated
- 2011-02-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.