| Behavioral Treatment Center, Llc | |
|
210 E Center St Suite B Pocatello ID 83201-6326 | |
| (208) 234-2600 | |
| (208) 234-2800 |
| Full Name | Behavioral Treatment Center, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 210 E Center St, Pocatello, Idaho |
| Authorized Official Name and Position | Terri L Muegerl (OWNER) |
| Authorized Official Contact | 2082342600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Behavioral Treatment Center, Llc 210 E Center St Suite B Pocatello ID 83201-6326 Ph: (208) 234-2600 | Behavioral Treatment Center, Llc 210 E Center St Suite B Pocatello ID 83201-6326 Ph: (208) 234-2600 |
| NPI Number | 1366519761 |
|---|---|
| Provider Enumeration Date | 11/29/2006 |
| Last Update Date | 08/20/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366519761 | NPI | - | NPPES |
| 806902500 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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