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Emotionally Disturbed Childrens' Residential Treatment Facility · LEWISTON, ID

Organization Active NPI 1245368224

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Emotionally Disturbed Childrens' Residential Treatment Facility322D00000X
Mental Health Counselor101YM0800XLCPC-2754ID

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.