| Integrated Interventions Llc | |
|
2482 E. Glacier Rd. Hayden Lake ID 83835 | |
| (208) 651-0095 | |
| Not Available |
| Full Name | Integrated Interventions Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2482 E. Glacier Rd., Hayden Lake, Idaho |
| Authorized Official Name and Position | Terry Lee Edelmann (OWNER) |
| Authorized Official Contact | 2086510095 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrated Interventions Llc 2482 E. Glacier Rd. Hayden Lake ID 83835 Ph: (208) 651-0095 | Integrated Interventions Llc 2482 E. Glacier Rd. Hayden Lake ID 83835 Ph: (208) 651-0095 |
| NPI Number | 1669808614 |
|---|---|
| Provider Enumeration Date | 09/23/2013 |
| Last Update Date | 09/23/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669808614 | NPI | - | NPPES |
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