Individual provider · Type 1 NPI

Reilly Kinkade Olson

Community/Behavioral Health Agency · Boise, ID

NPI number 1013885169 Active

Practice location

8620 W Emerald St Ste 150
Boise, ID 83704-4839

Call (208) 617-3265 Map

Fax (208) 617-3270

Mailing address

2097 W Fieldstream Dr
Meridian, ID 83646-4274

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency Primary 251S00000XNone listed

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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About NPI 1013885169

Reilly Kinkade Olson's National Provider Identifier is 1013885169, issued on Oct 28, 2025. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Boise, ID. The record was last updated on Oct 28, 2025.