Organization · Type 2 NPI
Sequel Tsi of Idaho, LLC
Emotionally Disturbed Childrens' Residential Treatment Facility · Mountain Home, ID
Practice location
2850 Industrial Way
Mountain Home, ID 83647-3960
Fax (208) 587-2875
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emotionally Disturbed Childrens' Residential Treatment Facility Primary | 322D00000X | None listed |
Emotionally Disturbed Childrens' Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
3 other providers at this address
About NPI 1073843868
Sequel Tsi of Idaho, LLC's National Provider Identifier is 1073843868, issued on Dec 30, 2009. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Mountain Home, ID. The record was last updated on Dec 30, 2009.