| Center For Behavioral Health Idaho, Llc | |
|
1965 S Eagle Rd Suite 180 Meridian ID 83642-9288 | |
| (208) 288-0649 | |
| (208) 288-0651 |
| Full Name | Center For Behavioral Health Idaho, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1965 S Eagle Rd, Meridian, Idaho |
| Authorized Official Name and Position | Jay Higham (CEO) |
| Authorized Official Contact | 2143656112 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Behavioral Health Idaho, Llc 5001 Spring Valley Road Suite 600 East Dallas TX 75244-3946 Ph: (214) 365-6100 | Center For Behavioral Health Idaho, Llc 1965 S Eagle Rd Suite 180 Meridian ID 83642-9288 Ph: (208) 288-0649 |
| NPI Number | 1629223128 |
|---|---|
| Provider Enumeration Date | 11/25/2008 |
| Last Update Date | 07/31/2023 |
| Certification Date | 07/31/2023 |
| Medicare PECOS PAC ID | 0840627626 |
|---|---|
| Medicare Enrollment ID | O20200218001366 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629223128 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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