OrganizationActive
Idaho Dept of Health & Welfare Reg 1 Amh
NPI 1447557772 · Adult Mental Health Clinic/Center · Kellogg, ID
Provider details
- NPI number
- 1447557772
- Entity type
- Organization
- Primary specialty
- Adult Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Vicki Malone, Program Manager(208) 769-1406
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
35 Wildcat Way
Kellogg, ID 83837-2261
Phone: (208) 784-1351
Fax: (208) 784-1356
Approximate (ZIP-level) locationGet directions
Mailing address
35 Wildcat Way
Kellogg, ID 83837-2261
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.