OrganizationActive
Jennda LLC
NPI 1356968895 · Substance Use Disorder Rehabilitation Clinic/Center · Coeur D Alene, ID
Provider details
- NPI number
- 1356968895
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jennifer Hawkins, Co-Owner(208) 889-8594
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
4305 N Royal St
Coeur D Alene, ID 83815-9237
Phone: (208) 889-8594
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 19604
Spokane, WA 99219-0034
Registry dates
- Enumerated
- 2020-07-01
- Last updated
- 2020-07-01
- Certified
- 2020-07-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.