| Raise The Bottom Training & Counseling Services, Llc | |
|
9196 W Barnes Dr Boise ID 83709-1552 | |
| (208) 433-0400 | |
| (208) 433-5271 |
| Full Name | Raise The Bottom Training & Counseling Services, Llc |
|---|---|
| Speciality | Counselor |
| Location | 9196 W Barnes Dr, Boise, Idaho |
| Authorized Official Name and Position | Courtney Ferrarese (BILLER) |
| Authorized Official Contact | 2084330400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Raise The Bottom Training & Counseling Services, Llc 9196 W Barnes Dr Boise ID 83709-1552 Ph: (208) 433-0400 | Raise The Bottom Training & Counseling Services, Llc 9196 W Barnes Dr Boise ID 83709-1552 Ph: (208) 433-0400 |
| NPI Number | 1962707166 |
|---|---|
| Provider Enumeration Date | 01/19/2011 |
| Last Update Date | 12/13/2019 |
| Certification Date | 12/13/2019 |
| Medicare PECOS PAC ID | 0244668341 |
|---|---|
| Medicare Enrollment ID | O20200324002657 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962707166 | NPI | - | NPPES |
| 2387NTC | Other | ID | NARCOTIC TREATMENT CENTER |
| ID-10008-M | Other | ID | OPIOID TREATMENT PROGRAM CERTIFICATION |
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