Individual provider · Type 1 NPI

Mary Katherine Clark

Community/Behavioral Health Agency · Boise, ID

NPI number 1023978905 Active

Practice location

1276 W River St Ste 100
Boise, ID 83702-7083

Specialties and licenses

Taxonomy	Code	License
Community/Behavioral Health Agency Primary	251S00000X	None 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 1023978905

Mary Katherine Clark's National Provider Identifier is 1023978905, issued on Nov 13, 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 Nov 13, 2025.