Lee Pesky Learning Center | |
3324 W Elder St Boise ID 83705-4713 | |
(208) 333-0008 | |
Not Available |
Full Name | Lee Pesky Learning Center |
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Speciality | Community/behavioral Health |
Location | 3324 W Elder St, Boise, Idaho |
Authorized Official Name and Position | Anne Clohessy (CLINICAL DIRECTOR) |
Authorized Official Contact | 2083330008 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Lee Pesky Learning Center 3324 W Elder St Boise ID 83705-4713 Ph: (208) 333-0008 | Lee Pesky Learning Center 3324 W Elder St Boise ID 83705-4713 Ph: (208) 333-0008 |
NPI Number | 1417300955 |
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Provider Enumeration Date | 07/20/2016 |
Last Update Date | 07/20/2016 |
Identifier | Type | State | Issuer |
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1417300955 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | SE-202926 (Idaho) | Primary |
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