institution
Idaho Dept Of Health & Welfare Amh Psr Boise
Mental Health Clinic/Center (Including Community Mental Health Center) in Boise, Idaho
NPI 1205966157

Idaho Dept Of Health & Welfare Amh Psr Boise is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Boise, ID and is specialized in Mental Health (Including Community Mental Health Center). Idaho Dept Of Health & Welfare Amh Psr Boise practices in Boise, ID. The NPI Number for Idaho Dept Of Health & Welfare Amh Psr Boise is 1205966157 and holds a License No. (Idaho).

The current practice location address for Idaho Dept Of Health & Welfare Amh Psr Boise is 1720 Westgate Dr, Boise, ID and can be reached out via phone at 208-334-0894 and via fax at 208-334-0804.

Location: 1720 Westgate Dr, Boise, ID, 83704-7164
institution
Provider Profile Details
NPI Number
1205966157
Provider Name
Idaho Dept Of Health & Welfare Amh Psr Boise
Credential
Provider Entity Type
Organization
Address
1720 Westgate Dr, Boise, ID, 83704-7164
Phone Number
208-334-0894
Fax Number
208-334-0804
Provider Enumeration Date
03/07/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000010018973 01 BLUE SHIELD
HW280 01 BLUE CROSS OF IDAHO
0024207 05 ID
institution
Provider Business Practice Location Address Details
Address
1720 Westgate Dr
City
State
Zip
83704-7164
Phone Number
208-334-0894
Fax Number
208-334-0804
person
Provider Business Mailing Address Details
Address
1720 Westgate Dr
City
State
Zip
83704-7164
Phone Number
208-334-0894
Fax Number
208-334-0804
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
License No.
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Definition
Definition to come...
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