Organization · Type 2 NPI

Idaho Dept of Health & Welfare Amh PSR Boise

Mental Health Clinic/Center (Including Community Mental Health Center) · Boise, ID

NPI number 1205966157 Active

Practice location

1720 Westgate Dr, Suite B-1
Boise, ID 83704-7164

Call (208) 334-0894 Map

Fax (208) 334-0804

Specialties and licenses

TaxonomyCodeLicense
Mental Health Clinic/Center (Including Community Mental Health Center) Primary 261QM0801XNone listed

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

5 other providers at this address

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About NPI 1205966157

Idaho Dept of Health & Welfare Amh PSR Boise's National Provider Identifier is 1205966157, issued on Mar 7, 2007. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Boise, ID. The record was last updated on Aug 22, 2020.