| Trivium Life Services | |
|
8950 W Emerald St Ste 178 Boise ID 83704-8296 | |
| (208) 376-7083 | |
| (208) 321-5069 |
| Full Name | Trivium Life Services |
|---|---|
| Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
| Location | 8950 W Emerald St Ste 178, Boise, Idaho |
| Authorized Official Name and Position | Heidi Williams (BILLING/CREDENTIALING) |
| Authorized Official Contact | 2083767083 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Trivium Life Services 8950 W Emerald St Ste 178 Boise ID 83704-8296 Ph: (208) 376-7083 | Trivium Life Services 8950 W Emerald St Ste 178 Boise ID 83704-8296 Ph: (208) 376-7083 |
| NPI Number | 1205583127 |
|---|---|
| Provider Enumeration Date | 03/10/2022 |
| Last Update Date | 03/31/2022 |
| Certification Date | 03/31/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205583127 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 261QR0405X | Clinic/center - Rehabilitation, Substance Use Disorder | (* (Not Available)) | Primary |
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