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Ambitions Of Idaho, INC

Clinic/Center, Mental Health (Including Community Mental Health Center) in Coeur D Alene, ID. Organization (NPI-2).

NPI number1003145533
StatusActive
Last updated in NPPESOct 12, 2023

Details

NPI
1003145533
Entity type
Organization (NPI-2)
Legal business name
Ambitions Of Idaho, INC
Organization subpart
No
Enumeration date
Dec 11, 2009
Certification date
Oct 12, 2023
Last updated
Oct 12, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––Yes
251S00000X Community/Behavioral Health––
261QM0850X Clinic/Center, Adult Mental Health––
320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities––
101YP2500X Counselor, Professional––
1041C0700X Social Worker, Clinical––
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry––
251B00000X Case Management––

Other names

  • Ambitions (Doing Business As)

Practice location

1044 Northwest Blvd Ste C
Coeur D Alene, ID 83814-2114

Phone 208-930-1740 · Fax 208-930-1695

Mailing address

1044 Northwest Blvd Ste C
Coeur D Alene, ID 83814-2114

Phone 208-930-1740 · Fax 208-930-1695

Authorized official

Shane Hagel
President
2089301740

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Other Mental Health Clinic/Center (Including Community Mental Health Center) providers in Coeur D Alene, ID

All 17 Mental Health Clinic/Center (Including Community Mental Health Center) providers in Coeur D Alene · All 2,988 providers in Coeur D Alene

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