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Northwest Children'S Home — NPI 1245368224, Lewiston, ID | NPI Central

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NPI 1245368224

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Northwest Children'S Home

NPI 1245368224 · Emotionally Disturbed Childrens' Residential Treatment Facility · Lewiston, ID

Provider details

NPI number: 1245368224
Entity type: Organization
Primary specialty: Emotionally Disturbed Childrens' Residential Treatment FacilityResidential Treatment Facilities
Organization subpart: No
Authorized official: Jenny Skeels, Business Office Manger(208) 743-9404
License: LCPC-2754 (ID)

Specialties & taxonomies

Emotionally Disturbed Childrens' Residential Treatment FacilityPrimary322D00000X
Residential Treatment Facilities
Mental Health Counselor101YM0800XLicense LCPC-2754 (ID)
Behavioral Health & Social Service Providers

Practice location

419 22nd Ave

Lewiston, ID 83501-3812

Phone: (208) 743-9404

Approximate (ZIP-level) locationGet directions

More ID providers

Mailing address

419 22nd Ave

Lewiston, ID 83501-3812

Other names (DBA / former)

Other name: Community Based Counseling
Other name: Residential Facility

Additional practice locations (1)

1111 S Orchard St
Suite 156
Boise, ID 83705-1966
Phone: (208) 336-2308
Fax: (208) 336-2309

Registry dates

Enumerated: 2007-03-01
Last updated: 2020-02-06
Certified: 2020-02-06

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.