| Abundance Behavioral Health Service, Inc | |
|
524 Cleveland Blvd Ste 230 Caldwell ID 83605-4080 | |
| (208) 455-1222 | |
| (208) 455-2559 |
| Full Name | Abundance Behavioral Health Service, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 524 Cleveland Blvd Ste 230, Caldwell, Idaho |
| Authorized Official Name and Position | Beverly Phillips (DIRECTOR/OWNER) |
| Authorized Official Contact | 2084551222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Abundance Behavioral Health Service, Inc 524 Cleveland Blvd Ste 230 Caldwell ID 83605-4080 Ph: (208) 455-1222 | Abundance Behavioral Health Service, Inc 524 Cleveland Blvd Ste 230 Caldwell ID 83605-4080 Ph: (208) 455-1222 |
| NPI Number | 1669795308 |
|---|---|
| Provider Enumeration Date | 03/09/2010 |
| Last Update Date | 06/06/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669795308 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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