institution
Idaho Dept Of Health & Welfare Cmh Clinic Boise
Adolescent and Children Mental Health Clinic/Center in Boise, Idaho
NPI 1205966249

Idaho Dept Of Health & Welfare Cmh Clinic Boise is an Adolescent and Children Mental Health Clinic/Center based in Boise, ID and is specialized in Adolescent and Children Mental Health. Idaho Dept Of Health & Welfare Cmh Clinic Boise practices in Boise, ID. The NPI Number for Idaho Dept Of Health & Welfare Cmh Clinic Boise is 1205966249 and holds a License No. (Idaho).

The current practice location address for Idaho Dept Of Health & Welfare Cmh Clinic Boise is 1720 Westgate Dr, Boise, ID and can be reached out via phone at 208-334-0792 and via fax at 208-334-0812.

Location: 1720 Westgate Dr, Boise, ID, 83704-7164
institution
Provider Profile Details
NPI Number
1205966249
Provider Name
Idaho Dept Of Health & Welfare Cmh Clinic Boise
Credential
Provider Entity Type
Organization
Address
1720 Westgate Dr, Boise, ID, 83704-7164
Phone Number
208-334-0792
Fax Number
208-334-0812
Provider Enumeration Date
03/07/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
HW090 01 BLUE CROSS OF IDAHO
000010019129 01 BLUE SHIELD
8075988 05 ID
institution
Provider Business Practice Location Address Details
Address
1720 Westgate Dr
City
State
Zip
83704-7164
Phone Number
208-334-0792
Fax Number
208-334-0812
person
Provider Business Mailing Address Details
Address
1720 Westgate Dr
City
State
Zip
83704-7164
Phone Number
208-334-0792
Fax Number
208-334-0812
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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