Children Of The Trees
Clinic/Center, Adolescent and Children Mental Health in Ponderay, ID. Organization (NPI-2).
NPI number1831908599
StatusActive
Last updated in NPPESJun 10, 2025
Details
- NPI
- 1831908599
- Entity type
- Organization (NPI-2)
- Legal business name
- Children Of The Trees
- Organization subpart
- No
- Enumeration date
- Jan 6, 2025
- Certification date
- Jun 10, 2025
- Last updated
- Jun 10, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0855X | Clinic/Center, Adolescent and Children Mental Health | – | – | Yes |
| 251B00000X | Case Management | – | – | |
| 251S00000X | Community/Behavioral Health | – | – | |
| 261QM0850X | Clinic/Center, Adult Mental Health | – | – |
Other names
- Children Of The Trees PLLC (Other Name)
Practice location
822 Kootenai Cutoff RdPonderay, ID 83852-9720
Phone 208-304-8711
Mailing address
822 Kootenai Cutoff RdPonderay, ID 83852-9720
Phone 208-304-8711
Authorized official
Lindsey Basnaw
Ceo
2083048711
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