OrganizationActive
Idaho Dept of Health & Welfare Reg 1 Amh Clinic Cda
NPI 1831226547 · Adult Mental Health Clinic/Center · Coeur D Alene, ID
Provider details
- NPI number
- 1831226547
- Entity type
- Organization
- Primary specialty
- Adult Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Cora Jo Gussenhoven, Program Manager
Practice location
2195 Ironwood Ct
Coeur D Alene, ID 83814-2628
Phone: (208) 769-1406
Fax: (208) 769-1430
Mailing address
2195 Ironwood Ct
Coeur D Alene, ID 83814-2628
Registry dates
- Enumerated
- 2007-02-28
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.