| Simply Hope Family Outreach Inc | |
|
1323 Oakley Ave Ste 22 Burley ID 83318-1833 | |
| (208) 679-9401 | |
| (208) 650-4126 |
| Full Name | Simply Hope Family Outreach Inc |
|---|---|
| Speciality | Case Management |
| Location | 1323 Oakley Ave Ste 22, Burley, Idaho |
| Authorized Official Name and Position | Kerrie Dschaak (YOUTH SUPPORT SERVICES COORDINATOR) |
| Authorized Official Contact | 2086504126 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Simply Hope Family Outreach Inc 1323 Oakley Ave Ste 22 Burley ID 83318-1833 Ph: (208) 679-9401 | Simply Hope Family Outreach Inc 1323 Oakley Ave Ste 22 Burley ID 83318-1833 Ph: (208) 679-9401 |
| NPI Number | 1720830649 |
|---|---|
| Provider Enumeration Date | 04/03/2024 |
| Last Update Date | 04/03/2024 |
| Certification Date | 04/02/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720830649 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Secondary |
| 251B00000X | Case Management | (* (Not Available)) | Primary |
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