| Supportive Housing And Innovative Partnerships | |
|
305 E 37th St Garden City ID 83714-6419 | |
| (208) 331-0900 | |
| (208) 331-0904 |
| Full Name | Supportive Housing And Innovative Partnerships |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 305 E 37th St, Garden City, Idaho |
| Authorized Official Name and Position | Kenneth Dale Widick (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2084128338 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Supportive Housing And Innovative Partnerships Po Box 8803 Boise ID 83707-2803 Ph: (208) 331-0900 | Supportive Housing And Innovative Partnerships 305 E 37th St Garden City ID 83714-6419 Ph: (208) 331-0900 |
| NPI Number | 1336901560 |
|---|---|
| Provider Enumeration Date | 01/24/2024 |
| Last Update Date | 01/24/2024 |
| Certification Date | 01/24/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336901560 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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