| Ada County Juvenile Court Services | |
|
400 N Benjamin Ln Suite 201 Boise ID 83704-5094 | |
| (208) 287-5612 | |
| (208) 287-5609 |
| Full Name | Ada County Juvenile Court Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 400 N Benjamin Ln, Boise, Idaho |
| Authorized Official Name and Position | Wendy Lynn Seagraves (CLINICAL SUPERVISOR) |
| Authorized Official Contact | 2082875624 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ada County Juvenile Court Services 6300 W Denton St Boise ID 83704-9326 Ph: (208) 577-4800 | Ada County Juvenile Court Services 400 N Benjamin Ln Suite 201 Boise ID 83704-5094 Ph: (208) 287-5612 |
| NPI Number | 1942632500 |
|---|---|
| Provider Enumeration Date | 08/06/2013 |
| Last Update Date | 07/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942632500 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Idaho) | Primary |
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