Organization · Type 2 NPI
Idaho Trauma Therapy LLC
Mental Health Clinic/Center (Including Community Mental Health Center) · Boise, ID
NPI number
1477049492
Active
Practice location
6126 W State St Ste 109
Boise, ID 83703-2741
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | LPC-6772 (ID) |
| Adult Mental Health Clinic/Center | 261QM0850X | LPC-6772 (ID) |
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | LPC-6772 (ID) |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
3 other providers at this address
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About NPI 1477049492
Idaho Trauma Therapy LLC's National Provider Identifier is 1477049492, issued on Jul 2, 2018. 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 Jul 2, 2018.