Individual provider · Type 1 NPI

Jacob Waldorf

Community/Behavioral Health Agency · Nampa, ID

NPI number 1356249262 Active

Practice location

3307 Caldwell Blvd Ste 104
Nampa, ID 83651-6403

Call (208) 696-9767 Map

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency Primary 251S00000XNone 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 1356249262

Jacob Waldorf's National Provider Identifier is 1356249262, issued on Oct 29, 2026. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Nampa, ID. The record was last updated on Oct 29, 2026.