OrganizationActive
Ambitions of Idaho, Inc.
NPI 1689133050 · Mental Health Clinic/Center (Including Community Mental Health Center) · Coeur D Alene, ID
Provider details
- NPI number
- 1689133050
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Shane Hagel, President(208) 676-9395
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
1044 Northwest Blvd Ste F
Coeur D Alene, ID 83814-2165
Phone: (208) 676-9395
Fax: (208) 676-9385
Approximate (ZIP-level) locationGet directions
Mailing address
1044 Northwest Blvd Ste F
Coeur D Alene, ID 83814-2165
Registry dates
- Enumerated
- 2019-03-15
- Last updated
- 2019-03-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.