P Praxis·MD
● Active Type 2 · Organization

Project Patch

Residential Treatment Facility, Emotionally Disturbed Children·Garden Valley, ID· NPI 1457681736 · Enumerated 2010 · 16 years on NPI
Project Patch is 1 of 12 residential treatment facility, emotionally disturbed children organizations in Idaho.
NPI age
16 years
Enumerated 2010-01-08
Primary specialty
Residential Treatment Facility, Emotionally Disturbed Children
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Hagele
Chief Operating Officer
Last NPPES update
2026-04-28
Source: monthly bulk 2026-05

How this organization compares

Across 12 active residential treatment facility, emotionally disturbed children providers in Idaho.

NPI age
16 years
↑ 7 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2010 → 2026

2010-01Enumerated in NPPES
2010 2026

Where they practice

Primary practice location
25 Miracle Ln # 450
Garden Valley, ID 836221044
📞 2084623074fax 2084623209
Mailing address
Po Box 820209
Vancouver, WA 986820004
📞 3606908495fax 3606908498

Authorized official

Chuck A Hagele
Chief Operating Officer
📞 3606908495

Specialties

  • Residential Treatment Facility, Emotionally Disturbed Children Primary
    A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
    ID license #26124 taxonomy 322D00000X

Practice context

Single-site organization. Only one practice location on file.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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