| Creatingoptionsllc | |
|
2390 American Legion Blvd Suite 2 Mountain Home ID 83647-3109 | |
| (208) 587-8095 | |
| (208) 587-8025 |
| Full Name | Creatingoptionsllc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2390 American Legion Blvd, Mountain Home, Idaho |
| Authorized Official Name and Position | Steve K Riley (AGENCY DIRECTOR) |
| Authorized Official Contact | 2085878095 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Creatingoptionsllc Po Box 1083 Mountain Home ID 83647-1083 Ph: (208) 587-8095 | Creatingoptionsllc 2390 American Legion Blvd Suite 2 Mountain Home ID 83647-3109 Ph: (208) 587-8095 |
| NPI Number | 1790806172 |
|---|---|
| Provider Enumeration Date | 04/03/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790806172 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Idaho) | Primary |
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