Mentor Idaho, Llc - Boise, ID

Mentor Idaho, Llc

Developmental Disabilities Clinic/Center in Boise, Idaho

NPI 1144896515

Mentor Idaho, Llc is a Developmental Disabilities Clinic/Center based in Rancho Cucamonga, ID and is specialized in Developmental Disabilities. Mentor Idaho, Llc practices in Boise, ID. The NPI Number for Mentor Idaho, Llc is 1144896515 and holds a License No. (Idaho).

The current practice location address for Mentor Idaho, Llc is 12553 W Explorer Dr Ste 190, Boise, ID and can be reached out via phone at 951-201-5914.

Location: 12553 W Explorer Dr Ste 190, Boise, ID, 91730

NPI Number

1144896515

Provider Name

Mentor Idaho, Llc

Credential

Provider Entity Type

Organization

Address

12553 W Explorer Dr Ste 190, Boise, ID, 91730

Phone Number

951-201-5914

Fax Number

Provider Enumeration Date

05/27/2021

Last Update Date

03/10/2024

Address

12553 W Explorer Dr Ste 190

City

Boise

State

Idaho

Zip

83713-1612

Phone Number

951-201-5914

Fax Number

Address

12553 W Explorer Dr Ste 190

City

Boise

State

Idaho

Zip

83713-1612

Phone Number

951-201-5914

Fax Number

Type

Ambulatory Health Care Facilities

Classification

Clinic/Center

Speciality

Developmental Disabilities

Taxonomy

261QD1600X

License No.

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Definition

An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).

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