Lookout Behavioral Health LLC
Peer Specialist in Coeur D Alene, ID. Organization (NPI-2).
NPI number1962033399
StatusActive
Last updated in NPPESFeb 4, 2020
Details
- NPI
- 1962033399
- Entity type
- Organization (NPI-2)
- Legal business name
- Lookout Behavioral Health LLC
- Organization subpart
- No
- Enumeration date
- Feb 4, 2020
- Certification date
- Feb 4, 2020
- Last updated
- Feb 4, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 175T00000X | Peer Specialist | – | – | Yes |
Practice location
7905 N Meadowlark Way Ste ACoeur D Alene, ID 83815-5041
Phone 208-762-2500
Mailing address
Po Box 2792Hayden, ID 83835-2792
Phone 208-762-9856
Authorized official
Graham M Christensen
Owner
2087040380
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