STATE OF IDAHO

Community/Behavioral Health Agency

NPI: 1790131027Organization

Specialties, Licenses & Credentials

Community/Behavioral Health AgencyPrimary

Community/Behavioral Health

Code: 251S00000X

LCPC-5579(ID)

Contact & Hours

Address: 1720 N WESTGATE DR
BOISE, ID 83704
Phone: (208) 334-0824

Location

Practice Location

1720 N WESTGATE DR, BOISE, ID

Quick Facts

NPI: 1790131027
Entity Type: Organization
Medicare: Not confirmed
Specialties: 1
Locations: 1

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