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“Child Mental Illness Respite Care” (Lewiston, ID)

Location: Lewiston, ID
Taxonomy: Child Mental Illness Respite Care.

A provider can have more than one taxonomy code. It is critical to register all applicable taxonomy codes with NPPES and to use the correct taxonomy code to represent the specific specialty when filing claims. This will assist in more accurate and timely processing of claims.
1063364412 — STACEY LYNN FORSMAN
Practice Location Address:
531 BRYDEN AVE
LEWISTON ID
83501-4438
Practice Phone: 208-798-1646
1063364743 — EMALISSA BROOKE ANNE BALENTINE
Practice Location Address:
531 BRYDEN AVE
LEWISTON ID
83501-4438
Practice Phone: 208-798-1646
1225980568 — TRISTIN KING DOMINGUEZ
Practice Location Address:
531 BRYDEN AVE
LEWISTON ID
83501-4438
Practice Phone: 208-798-1646
1548104599 — JUAN DAVID HART
Practice Location Address:
531 BRYDEN AVE
LEWISTON ID
83501-4438
Practice Phone: 208-798-1646
1649134701 — DIANA UPPENDAHL
Practice Location Address:
531 BRYDEN AVE
LEWISTON ID
83501-4438
Practice Phone: 208-798-1646
1821940297 — KAILEY MARIE CARPENTER
Practice Location Address:
531 BRYDEN AVE
LEWISTON ID
83501-4438
Practice Phone: 208-798-1646
1912852542 — MADISON MEADOWS
Practice Location Address:
531 BRYDEN AVE
LEWISTON ID
83501-4438
Practice Phone: 208-798-1646
1992658439 — BROOKE PEIDAN PFAFF
Practice Location Address:
531 BRYDEN AVE
LEWISTON ID
83501-4438
Practice Phone: 208-798-1646

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