Idaho Division Of Behavioral Health | |
450 W State St Boise ID 83702-6056 | |
(208) 334-6997 | |
Not Available |
Full Name | Idaho Division Of Behavioral Health |
---|---|
Speciality | Community/behavioral Health |
Location | 450 W State St, Boise, Idaho |
Authorized Official Name and Position | Kathy Skippen (PROGRAM MANAGER) |
Authorized Official Contact | 2083346676 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Idaho Division Of Behavioral Health 450 W State St Boise ID 83702-6056 Ph: (208) 334-6997 | Idaho Division Of Behavioral Health 450 W State St Boise ID 83702-6056 Ph: (208) 334-6997 |
NPI Number | 1710287149 |
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Provider Enumeration Date | 11/02/2010 |
Last Update Date | 11/02/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1710287149 | NPI | - | NPPES |
8082697 | Medicaid | ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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