| 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 | Social Worker |
| Location | 524 Cleveland Blvd Ste 230, Caldwell, Idaho |
| Authorized Official Name and Position | Beverly Phillips (OWNER DIRECTOR) |
| 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 | 1891913125 |
|---|---|
| Provider Enumeration Date | 04/23/2007 |
| Last Update Date | 06/04/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891913125 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | ZC217184C (Idaho) | Primary |
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