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NPI 1992658439

IndividualActive

Brooke Pfaff

NPI 1992658439 · Child Mental Illness Respite Care · Lewiston, ID

Provider details

NPI number: 1992658439
Entity type: Individual
Primary specialty: Child Mental Illness Respite CareRespite Care Facility
Sex: Female
Sole proprietor: Yes

Practice location

531 Bryden Ave

Lewiston, ID 83501-4438

Phone: (208) 798-1646

Fax: (208) 798-5568

More ID providers

Mailing address

531 Bryden Ave

Lewiston, ID 83501-4438

Registry dates

Enumerated: 2026-02-16
Last updated: 2026-02-16

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

Brooke Pfaff — NPI 1992658439, Lewiston, ID | NPI Central