| Creating Options Llc | |
|
2390 American Legion Blvd Suite 2 Mountain Home ID 83647-3109 | |
| (208) 587-8095 | |
| (208) 587-8025 |
| Full Name | Creating Options Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2390 American Legion Blvd, Mountain Home, Idaho |
| Authorized Official Name and Position | Stephan Riley (AGENCY DIRECTOR) |
| Authorized Official Contact | 2085878095 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Creating Options Llc Po Box 1083 Mountain Home ID 83647-1083 Ph: (208) 587-8095 | Creating Options Llc 2390 American Legion Blvd Suite 2 Mountain Home ID 83647-3109 Ph: (208) 587-8095 |
| NPI Number | 1740329143 |
|---|---|
| Provider Enumeration Date | 02/05/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740329143 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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