| Northside Counseling And Rehab | |
|
801 N Lincoln Ave Jerome ID 83338-1853 | |
| (208) 731-5750 | |
| Not Available |
| Full Name | Northside Counseling And Rehab |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 801 N Lincoln Ave, Jerome, Idaho |
| Authorized Official Name and Position | Marylin Eacker (MANAGING MEMBER) |
| Authorized Official Contact | 2087315750 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northside Counseling And Rehab 801 N Lincoln Ave Jerome ID 83338-1853 Ph: (208) 731-5750 | Northside Counseling And Rehab 801 N Lincoln Ave Jerome ID 83338-1853 Ph: (208) 731-5750 |
| NPI Number | 1336394683 |
|---|---|
| Provider Enumeration Date | 11/28/2008 |
| Last Update Date | 11/28/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336394683 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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