Astegos, Inc | |
3550 W Americana Ter Fl 1 Boise ID 83706-4728 | |
(208) 649-4099 | |
Not Available |
Full Name | Astegos, Inc |
---|---|
Speciality | Counselor - Mental Health |
Location | 3550 W Americana Ter Fl 1, Boise, Idaho |
Authorized Official Name and Position | Tim Flaherty (CEO) |
Authorized Official Contact | 2089542025 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Astegos, Inc 13626 W Baldcypress St Ste 119 Boise ID 83713-4803 Ph: (208) 649-4099 | Astegos, Inc 3550 W Americana Ter Fl 1 Boise ID 83706-4728 Ph: (208) 649-4099 |
NPI Number | 1477061299 |
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Provider Enumeration Date | 01/15/2018 |
Last Update Date | 01/15/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1477061299 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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