Organization · Type 2 NPI

Mentor Idaho, LLC

Developmental Disabilities Clinic/Center · Boise, ID

NPI number 1144896515 Active

Practice location

12553 W Explorer Dr Ste 190
Boise, ID 83713-1612

Call (951) 201-5914 Map

Mailing address

9166 Anaheim Place, Suie 200
Rancho Cucamonga, CA 91730

Specialties and licenses

TaxonomyCodeLicense
Developmental Disabilities Clinic/Center Primary 261QD1600XNone listed

Developmental Disabilities Clinic/Center: An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).

30 other providers at this address

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About NPI 1144896515

Mentor Idaho, LLC's National Provider Identifier is 1144896515, issued on May 27, 2021. The primary taxonomy on file is Developmental Disabilities Clinic/Center (261QD1600X), and the practice location is in Boise, ID. The record was last updated on May 27, 2021.