Provider Demographics
NPI:1386777126
Name:CENTERPOINTE, INC.
Entity type:Organization
Organization Name:CENTERPOINTE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST, CLINIC DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:RENE
Authorized Official - Last Name:KILDOW
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:208-442-7791
Mailing Address - Street 1:1436 N SELVAGGIO WAY
Mailing Address - Street 2:
Mailing Address - City:EAGLE
Mailing Address - State:ID
Mailing Address - Zip Code:83616-4164
Mailing Address - Country:US
Mailing Address - Phone:208-442-7791
Mailing Address - Fax:208-939-3179
Practice Address - Street 1:915 PARKCENTRE WAY STE 7
Practice Address - Street 2:
Practice Address - City:NAMPA
Practice Address - State:ID
Practice Address - Zip Code:83651-1748
Practice Address - Country:US
Practice Address - Phone:208-442-7791
Practice Address - Fax:208-939-3179
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health