| Allegiance Behavioral Health Llc | |
|
1010 N Orchard St Ste 1a Boise ID 83706-2255 | |
| (208) 319-4394 | |
| Not Available |
| Full Name | Allegiance Behavioral Health Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1010 N Orchard St Ste 1a, Boise, Idaho |
| Authorized Official Name and Position | Ali Subhi Abdulwahab (OWNER) |
| Authorized Official Contact | 2083194394 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Allegiance Behavioral Health Llc 1010 N Orchard St Ste 1a Boise ID 83706-2255 Ph: (208) 319-4394 | Allegiance Behavioral Health Llc 1010 N Orchard St Ste 1a Boise ID 83706-2255 Ph: (208) 319-4394 |
| NPI Number | 1073150033 |
|---|---|
| Provider Enumeration Date | 12/09/2019 |
| Last Update Date | 12/09/2019 |
| Certification Date | 12/09/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073150033 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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