Organization · Type 2 NPI

Idaho Dept of Health & Welfare CMH Clinic Boise

Adolescent and Children Mental Health Clinic/Center · Boise, ID

NPI number 1205966249 Active

Practice location

1720 Westgate Dr, Suite D
Boise, ID 83704-7164

Fax (208) 334-0812

Specialties and licenses

TaxonomyCodeLicense
Adolescent and Children Mental Health Clinic/Center Primary 261QM0855XNone listed

Adolescent and Children Mental Health Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.

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About NPI 1205966249

Idaho Dept of Health & Welfare CMH Clinic Boise's National Provider Identifier is 1205966249, issued on Mar 7, 2007. The primary taxonomy on file is Adolescent and Children Mental Health Clinic/Center (261QM0855X), and the practice location is in Boise, ID. The record was last updated on Aug 22, 2020.